Individual provider Active NPI

Julie Erica Slepian, MA, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1013153246
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019706-1 Issued in NY
Practice address
436 E 88TH St
2E
New York, NY 10128-6617
Phone
(516) 978-7718
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019706-1 NY Primary

Addresses

Primary practice location

436 E 88TH St
2E
New York, NY 10128-6617

Mailing address

436 E 88TH St
2E
New York, NY 10128-6617
Phone (516) 978-7718

Other identifiers 1

IdentifierTypeStateIssuer
03732950MedicaidNY

Other names 1

  • Julie Erica Fenn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
019706-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1013153246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E 88TH ST",
            "address_2": "2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286617",
            "telephone_number": "516-978-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 E 88TH ST",
            "address_2": "2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286617",
            "telephone_number": "516-978-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEPIAN",
        "first_name": "JULIE",
        "middle_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019706-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03732950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FENN",
            "middle_name": "ERICA",
            "credential": "MA, CCC-SLP, TSSLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.