Yesenia Phillips, M.A CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016110-1 Issued in NY

Practice address

10240 67TH Dr
Suite C2
Forest Hills, NY 11375-2800

Phone

(917) 497-6731

Fax

(718) 997-0341

NPI assigned

Dec 18, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1144559212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 67TH RD APT 1G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752726",
            "telephone_number": "917-497-6731",
            "fax_number": "718-997-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 67TH DR",
            "address_2": "SUITE C2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752800",
            "telephone_number": "917-497-6731",
            "fax_number": "718-997-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "YESENIA",
        "name_prefix": "Mrs.",
        "credential": "M.A CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016110-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Pham, B.S. PSYCHOLOGY
• Philip J. Lopresti D.O., P.C.
• Constance Baker Phillips, DDS
• Irene Phillips, LCSW
• Malicah Chantal Phillips
• Physical Medicine & Rehabilitation Consultant, P.C.
• Physical Therapy and Chiropractic PLLC
• Physio World LLC
• Tzi-Yen Pi
• Ivory Carl Reyes Piad

• Speech-Language Pathologist in Forest Hills, NY
• Providers in Forest Hills, 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 Dec 18, 2009; 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.