Chrisafo Madimenos, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012256-1 Issued in NY

Practice address

26 Bay Ridge Ave Apt 1C
Brooklyn, NY 11220-5076

Phone

(646) 872-0049

NPI assigned

Jan 5, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1013153584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BAY RIDGE AVE APT 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205076",
            "telephone_number": "646-872-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BAY RIDGE AVE APT 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205076",
            "telephone_number": "646-872-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIMENOS",
        "first_name": "CHRISAFO",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012256-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhumati R Kalavar, MD, PC
• Pillai Pallavi Madhusoodhan, M.D
• Emily L Madias
• Mary E Madigan, CCC-SLP
• Madiha Javed Medical Services PLLC
• Madina Deli LLC
• Madina Physical Therapy P.C
• Sundeep Madireddi
• Varun Madireddy, MD
• Humu Madis

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 5, 2009; 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.