Doreen Circelli

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020178-1 Issued in NY

Practice address

3 Cottonwood CT
Central Valley, NY 10917-3500

Phone

(845) 928-8539

NPI assigned

Feb 9, 2011

Last updated

Feb 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Medical Services PCGroup PAC ID 8628365582, 27 clinicians

Global Speech-Language Pathology PCGroup PAC ID 3577865120, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epic Medical Services PC

  • Specialist
  • East Meadow, NY
  • NPI 1134589609
  Medicare reassignment Care Compare group NPD
• Global Speech Language Pathology PC

  • Speech-Language Pathologist
  • New Hyde Park, NY
  • NPI 1710359625
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1003112962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COTTONWOOD CT",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109173500",
            "telephone_number": "845-928-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COTTONWOOD CT",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109173500",
            "telephone_number": "845-928-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRCELLI",
        "first_name": "DOREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020178-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Lea Bobnick, M.S.ED.,CCC-SLP
• Robert Alan Bochner, D.D.S.
• Jane L Bruno, RN
• Thomas Patrick Carney, LCSW-R
• Katia Charles
• Henry S Cohen, D.M.D.
• Maria Covillion
• Kristen Derosso, M.S.
• Julie Desrats
• Lauri-Ann Marie Devine, MS, CCC-SLP

• Speech-Language Pathologist in Central Valley, NY
• Providers in Central Valley, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.