Ellen Kate Rielly, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029825 Issued in NY

Practice address

1110 2ND Ave RM 302
New York, NY 10022-2021

Phone

(212) 842-0080

NPI assigned

Mar 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Kate Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1053946327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 79TH ST APT 8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246117",
            "telephone_number": "516-993-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 2ND AVE RM 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222021",
            "telephone_number": "212-842-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIELLY",
        "first_name": "ELLEN",
        "middle_name": "KATE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "KELLY",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jill Rieger, MD
• Micol Rieger
• Molly Rieger, MS, RD
• Christopher Riegler, MD
• Jenny Karina Rieke, LMHC, CHT
• Gregory J Riely, MD
• Elianna Riemer
• Jill Blythe Riemer, LCSW
• Rebecca Riemer
• Ricardo Rieppi, PH.D.

• Speech-Language Pathologist in New York, NY
• Providers in New York, 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 Jun 18, 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.