Individual provider Active NPI

Shaina R Rotstein, M.A, CCC-SLP

  • Speech-Language Pathologist
  • Mount Kisco, NY
National Provider Identifier
1154698496
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017391 Issued in NY
Practice address
39 Smith Ave
Rear Building, 1St Floor
Mount Kisco, NY 10549-2838
Phone
(914) 244-9600
Fax
(914) 244-9601
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 003955 CT
Speech-Language Pathologist 235Z00000X 017391 NY Primary

Addresses

Primary practice location

39 Smith Ave
Rear Building, 1St Floor
Mount Kisco, NY 10549-2838

Mailing address

39 Smith Ave
Rear Building, 1St Floor
Mount Kisco, NY 10549-2838
Phone (914) 244-9600

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 Arts

State licenses

LicenseStateTypeSpecialty
003955CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk of the Town Speech and Language Therapy, PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1154698496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SMITH AVE",
            "address_2": "REAR BUILDING, 1ST FLOOR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492838",
            "telephone_number": "914-244-9600",
            "fax_number": "914-244-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SMITH AVE",
            "address_2": "REAR BUILDING, 1ST FLOOR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492838",
            "telephone_number": "914-244-9600",
            "fax_number": "914-244-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTSTEIN",
        "first_name": "SHAINA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.A, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003955",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.