Shelley Fein, M.A.C.C.C.-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003760-1 Issued in NY

Practice address

21 Burd St
Nyack, NY 10960-3205

Phone

(845) 353-2350

Fax

(845) 353-2397

NPI assigned

Oct 21, 2008

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

State licenses

Practice roles

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

• Lise Petricone Inc. Dba Small Steps

  • Early Intervention Provider Agency
  • Nyack, NY
  • NPI 1639321730
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1013169028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 SCHMIDT LN",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021357",
            "telephone_number": "732-406-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BURD ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603205",
            "telephone_number": "845-353-2350",
            "fax_number": "845-353-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIN",
        "first_name": "SHELLEY",
        "name_prefix": "Ms.",
        "credential": "M.A.C.C.C.-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003760-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyevolution, Inc.
• Joseph Falco, LMFT
• Brie Fantini, P.A.
• Philip J Farrugia, LMHC
• Fatima Odetalla, NP in Psychiatry, PLLC
• Emily Jayne Feiner, LCSW
• Junior Fernandez Fernandez Sr.
• Lisa Jane Ferrante, LCSW
• Stefanie Ferraro, CNM
• Dominque Andriese Fickling, LCAT

• Speech-Language Pathologist in Nyack, NY
• Providers in Nyack, 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 Oct 21, 2008; 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.