Individual provider Active NPI

Danielle Greenspon Wohlleben, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Rockville Centre, NY
National Provider Identifier
1033364559
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013446-1 Issued in NY
Practice address
128 Shepherd St
Rockville Centre, NY 11570-2257
Phone
(516) 255-8916
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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 013446-1 NY Primary

Addresses

Primary practice location

128 Shepherd St
Rockville Centre, NY 11570-2257

Mailing address

2126 Pemaco Rd
Merrick, NY 11566-5538
Phone (516) 632-5119

Other names 1

  • Danielle Wohlleben Professional 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
013446-1NYMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1033364559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 PEMACO RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665538",
            "telephone_number": "516-632-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SHEPHERD ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702257",
            "telephone_number": "516-255-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPON WOHLLEBEN",
        "first_name": "DANIELLE",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013446-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "WOHLLEBEN",
            "credential": "M.A. CCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.