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KATELYN PENNA BERUBE M.S. CCC-SLP
NPI 1093002552
Speech-Language Pathologist in Portland, ME

Active since July 06, 2011
222 AUBURN ST, SUITE 1G, PORTLAND, ME 04103(207) 797-8255(207) 797-5560 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katelyn Penna Berube M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN PENNA BERUBE M.S. CCC-SLP (NPI 1093002552) is an individual speech-language pathologist provider in Portland, Maine, licensed in Maine (SP2167) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1093002552
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATELYN PENNA BERUBECredential: M.S. CCC-SLP
Location Address222 AUBURN ST, SUITE 1GPortland, ME 04103-6002
Mailing Address222 Auburn St, Suite 1gPortland, ME 04103-6002 · (207) 797-8255 · Fax (207) 797-5560
Phone(207) 797-8255
Fax(207) 797-5560
Sole ProprietorNo
Enumeration DateJuly 6, 2011
Last NPPES UpdateJanuary 3, 2017
✔ NPI 1093002552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in ME · SP2167
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
222 AUBURN ST, Portland, ME 04103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Penna Berube M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Penna Berube reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hammond Associates Inc
1.3 mi
Speech-Language Pathologist
1250 FOREST AVE STE 301
Portland, ME 04103
  • Reassigned Medicare billing, Maine enrollment
  • 10 clinicians in this Medicare group
NPI 1457387904 (207) 797-8255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY HEALEY M.S., CCC-SLP
Speech-Language Pathologist
222 AUBURN ST, STE. 1G
PORTLAND, ME 04103
Cumberland County (207) 797-8255
MELISSA BETHONY M.A., CCC-SLP
Speech-Language Pathologist
222 AUBURN ST, STE. 1G
PORTLAND, ME 04103
Cumberland County (207) 797-8255
JACQUELINE R DELONG MA CF-SLP
Speech-Language Pathologist
222 AUBURN ST
PORTLAND, ME 04103
Cumberland County (207) 797-8255
GINA HEWINS M.S. CF-SLP
Speech-Language Pathologist
222 AUBURN ST
PORTLAND, ME 04103
Cumberland County (207) 797-8255
ALISON R CASWELL LCPC-C
Counselor (Professional)
222 AUBURN ST, SUITE 201
PORTLAND, ME 04103
Cumberland County (207) 831-5396
MS. LYDIA JOSEPH ALOISIO CCC-SLP
Speech-Language Pathologist
222 AUBURN ST
PORTLAND, ME 04103
Cumberland County (207) 797-8255
ALICE HERVEY MA, CF-SLP
Speech-Language Pathologist
222 AUBURN ST
PORTLAND, ME 04103
Cumberland County (207) 797-8255
MAURICE C. HOTHEM, DO PA
Family Medicine
222 AUBURN ST
PORTLAND, ME 04103
Cumberland County (207) 797-4148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Penna Berube's NPI number?

The NPI number for Katelyn Penna Berube is 1093002552. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Katelyn Penna Berube located?

Katelyn Penna Berube practices at 222 Auburn St Suite 1G, Portland, ME 04103. The listed phone number is (207) 797-8255.

What is Katelyn Penna Berube's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Katelyn Penna Berube enrolled in Medicare?

Yes. Katelyn Penna Berube is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Penna Berube's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Penna Berube reassigns Medicare benefits to Hammond Associates Inc (Portland, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Penna Berube's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katelyn Penna Berube was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.