Individual provider Active NPI

Gloria Schlisselberg, PHD

  • Speech-Language Pathologist
  • Dobbs Ferry, NY
National Provider Identifier
1093921843
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0038301 Issued in NY
Practice address
555 Broadway
Speech and Hearing Center RM G16
Dobbs Ferry, NY 10522
Phone
(914) 674-7742
Fax
(914) 674-7597
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0038301 NY Primary

Addresses

Primary practice location

555 Broadway
Speech and Hearing Center RM G16
Dobbs Ferry, NY 10522

Mailing address

555 Broadway
Speech and Hearing Center RM G16
Dobbs Ferry, NY 10522
Phone (914) 674-7505

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0038301NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093921843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BROADWAY",
            "address_2": "SPEECH AND HEARING CENTER RM G16",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "914-674-7505",
            "fax_number": "914-674-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BROADWAY",
            "address_2": "SPEECH AND HEARING CENTER RM G16",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "914-674-7742",
            "fax_number": "914-674-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLISSELBERG",
        "first_name": "GLORIA",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0038301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.