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MRS. MARY ELIZABETH BOUCHARD CCC-SLP
NPI 1932673100
Speech-Language Pathologist in Ogdensburg, NY

Active since January 21, 2019
214 KING STREET, OGDENSBURG, NY 13669(315) 713-5660(315) 393-0055 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2024, Jan 21, 2019 (2 updates tracked since 2019).

About Mrs. Mary Elizabeth Bouchard Ccc-slp NPPES

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

MRS. MARY ELIZABETH BOUCHARD CCC-SLP (NPI 1932673100) is an individual speech-language pathologist provider in Ogdensburg, New York, licensed in New York (028375-1) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1932673100
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. MARY ELIZABETH BOUCHARDCredential: CCC-SLP
Location Address214 KING STREETOgdensburg, NY 13669
Mailing Address214 King StreetOgdensburg, NY 13669 · (315) 713-5660 · Fax (315) 393-0055
Phone(315) 713-5660
Fax(315) 393-0055
Sole ProprietorNo
Enumeration DateJanuary 21, 2019
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
✔ NPI 1932673100 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 NY · 028375-1
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.
214 KING STREET, Ogdensburg, NY 13669
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Other Identifiers 1

Medicaid05509600NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Elizabeth Bouchard Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mary Bouchard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Claxton-Hepburn Medical Center
Same address
Psychiatric Hospital
214 KING ST STE B
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1891753034 (315) 393-3600

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 15

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

KRISTA L FULLER CRNA
Nurse Anesthetist, Certified Registered
214 KING STREET
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-3600
KAREN KANTOR DO
Specialist
214 KING STREET
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-3600
NORTH COUNTRY ANESTHESIA, PC
Anesthesiology
214 KING STREET
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-3600
STACEY SWEET GRAVES OTR/L
Occupational Therapist
214 KING STREET
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-5660
MARGARET T THIBODEAU
Physician Assistant
214 KING STREET
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-3600
KORI LAROSE LMSW
Social Worker
214 KING STREET
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-5720
CHELSEA MARIE REED PTA
Physical Therapy Assistant
214 KING STREET
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-5660
ISABELLE ANNE YOUNG FNP-P
Nurse Practitioner (Family)
214 KING STREET
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-6778

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 Mary Bouchard's NPI number?

The NPI number for Mary Bouchard is 1932673100. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Mary Bouchard located?

Mary Bouchard practices at 214 King Street, Ogdensburg, NY 13669. The listed phone number is (315) 713-5660.

What is Mary Bouchard's specialty?

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

Is Mary Bouchard enrolled in Medicare?

Yes. Mary Bouchard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Bouchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Bouchard reassigns Medicare benefits to Claxton-Hepburn Medical Center (Ogdensburg, NY). 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 Mary Bouchard'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 Mary Bouchard was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.