Sara Graham, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025040 Issued in NY

Practice address

4635 Union Rd
Cheektowaga, NY 14225

Phone

(716) 505-5700

Fax

(716) 639-9351

NPI assigned

Nov 3, 2006

Last updated

May 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Wny

  • Early Intervention Provider Agency
  • Cheektowaga, NY
  • NPI 1386905115
  NPD (past)
• Aspire Wny

  • Early Intervention Provider Agency
  • Cheektowaga, NY
  • NPI 1790031201
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1023197928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251851",
            "telephone_number": "716-505-5700",
            "fax_number": "716-639-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-505-5700",
            "fax_number": "716-639-9351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E North St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031002",
            "country_code": "US",
            "telephone_number": "716-885-8871",
            "fax_number": "716-885-4229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4635 Union Rd",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "14225",
            "country_code": "US",
            "telephone_number": "716-505-5700 x53026",
            "fax_number": "716-639-9351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SARA",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008211",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lee Gorges, PHARM D
• Ashley Gorny, LMHC
• Jacquelyn Rose Gorski, LCSW-R
• Jo-Anne Grabowski, PH.D.
• David Peter Graham
• Jennifer Lynn Grampp, RPH
• Stephen Anthony Grande, DC
• Marcelle Grassi, MD
• Jennifer Gray, L.P.N.
• Ian Cameron Grayson, DDS, MMSC

• Speech-Language Pathologist in Cheektowaga, NY
• Providers in Cheektowaga, 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 May 8, 2020; 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.