Individual provider Active NPI

Morgan Theresa Wiley

  • Speech-Language Pathologist
  • Lake Katrine, NY
National Provider Identifier
1083335475
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
250 Tuytenbridge Rd
Lake Katrine, NY 12449-5429
Phone
(845) 336-7235
Fax
(845) 336-7248
NPI assigned
Sep 6, 2022
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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 NU Primary

Addresses

Primary practice location

250 Tuytenbridge Rd
Lake Katrine, NY 12449-5429

Mailing address

53 Nassau Rd
Poughkeepsie, NY 12601-5615
Phone (845) 392-8917

Other practice location 1

1349 Inwood Ave
Bronx, NY 10452-3222
Phone (718) 293-6950

Other identifiers 1

IdentifierTypeStateIssuer
3066840OtherPROLIABILITY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwiley@nsgdoe.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of Ulster County Inc CurrentSince Sep 5, 2023 Accepting new patients
United Cerebral Palsy of Ulster County Inc. PastSince Sep 5, 2023 Accepting new patients

Locations

250 Tuytenbridge Rd
Lake Katrine, NY 12449
Phone (845) 336-7235

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1083335475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 NASSAU RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015615",
            "telephone_number": "845-392-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 TUYTENBRIDGE RD",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495429",
            "telephone_number": "845-336-7235",
            "fax_number": "845-336-7248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1349 Inwood Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104523222",
            "country_code": "US",
            "telephone_number": "718-293-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "MORGAN",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROLIABILITY",
            "identifier": "3066840",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwiley@nsgdoe.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "53 Nassau Rd",
            "city": "Poughkeepsie",
            "state": "NY",
            "country_code": "US",
            "postal_code": "126015615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.