Individual provider Active NPI

Sophia Lambrakis Lambrakis-Madimenos, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1093029779
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011515 Issued in NY
Practice address
37 70TH St
Brooklyn, NY 11209-1011
Phone
(718) 748-0654
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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 011515 NY Primary

Addresses

Primary practice location

37 70TH St
Brooklyn, NY 11209-1011

Mailing address

37 70TH St
Brooklyn, NY 11209-1011
Phone (718) 748-0654

Other names 1

  • Mrs. Sophia Lambrakis Lambrakis Madimenos 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 Science

State licenses

LicenseStateTypeSpecialty
011515NYMDGerontological Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1093029779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 70TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091011",
            "telephone_number": "718-748-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 70TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091011",
            "telephone_number": "718-748-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBRAKIS-MADIMENOS",
        "first_name": "SOPHIA",
        "middle_name": "LAMBRAKIS",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "LAMBRAKIS MADIMENOS",
            "middle_name": "LAMBRAKIS",
            "prefix": "MRS.",
            "credential": "M.S.,CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.