Suzanne Rachel Miller, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017926-1 Issued in NY

Practice address

999 Central Ave Ste 308
Woodmere, NY 11598-1205

Phone

(845) 323-2288

NPI assigned

Aug 28, 2019

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

Other names 1

• Shoshana R Miller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1003464686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DOUGHTY BLVD APT 2",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591306",
            "telephone_number": "845-323-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CENTRAL AVE STE 308",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981205",
            "telephone_number": "845-323-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Doughty Blvd Apt 2",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "NY",
            "postal_code": "115591306",
            "country_code": "US",
            "telephone_number": "845-323-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUZANNE",
        "middle_name": "RACHEL",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017926-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOSHANA",
            "last_name": "MILLER",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ahava Miller
• Harlee Miller
• Marina Khasido Miller
• Nathaniel Tobias Miller
• Shelby Lynn Miller
• Mindful Counseling LCSW PLLC
• Arthur M Minkoff, DPM
• Cristina Miranda
• Sonya Mirzakandova, RN
• MNK Kids Inc

• Speech-Language Pathologist in Woodmere, NY
• Providers in Woodmere, 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 Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.