Michelle Mack, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

503 Grasslands Rd Ste 101
Valhalla, NY 10595-1520

Phone

(914) 593-0593

NPI assigned

Jul 17, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Los Ninos Private Services

  • Behavior Analyst
  • New York, NY
  • NPI 1760078471
  NPD (past)
• Wceed, Inc.

  • Early Intervention Provider Agency
  • Valhalla, NY
  • NPI 1174775019
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1104479492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45B ADLER PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753907",
            "telephone_number": "347-416-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 GRASSLANDS RD STE 101",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951520",
            "telephone_number": "914-593-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "MICHELLE",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Eng Lunt, DO
• Emily Weiqi Luo
• Sandra Jean Lyden
• Michael Andrew Lyew, M.D.
• Maria Belen Maccio, R.N.
• Mary T Mackay
• Michael James Mackey, MD
• Shekher Maddineni, MD
• Ahmed Madkoor, MD
• Brandon Madris, M.D.

• Speech-Language Pathologist in Valhalla, NY
• Providers in Valhalla, 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 Jul 17, 2019; 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.