Individual provider Active NPI

Arielle R Fourman

  • Speech-Language Pathologist
  • Larchmont, NY
National Provider Identifier
1063845337
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023852 Issued in NY
Practice address
1940 Palmer Ave # 1017
Larchmont, NY 10538-2410
Phone
(631) 219-6375
NPI assigned
Aug 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X SL012004 PA
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 023852 NY Primary
Speech-Language Pathologist 235Z00000X 77745-SP-SL MA

Addresses

Primary practice location

1940 Palmer Ave # 1017
Larchmont, NY 10538-2410

Mailing address

430 E 63Rd St Apt 10C
New York, NY 10065-7988
Phone (631) 219-6375

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

State licenses

LicenseStateTypeSpecialty
77745-SP-SLMAMDSpeech-Language Pathologist
SL012004PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Words Work Speech Therapy PLLC Speech-Language Pathologist Current Accepting new patients

Locations

1940 Palmer Ave
Larchmont, NY 10538
Phone (631) 219-6375

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1063845337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 63RD ST APT 10C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657988",
            "telephone_number": "631-219-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 PALMER AVE # 1017",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382410",
            "telephone_number": "631-219-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURMAN",
        "first_name": "ARIELLE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012004",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023852",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77745-SP-SL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.