Active NPI
Rachel Gorman, MS, CCC-SLP
- Speech-Language Pathologist
- Ridgefield, CT
National Provider Identifier
1164658159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018130-1
- Practice address
- 54 Danbury Rd Ste 357
Ridgefield, CT 06877-4019 - Phone
- (475) 215-1936
- NPI assigned
- Jun 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 018130-1 | NY | Primary |
Addresses
Primary practice location
54 Danbury Rd Ste 357
Ridgefield, CT 06877-4019
Mailing address
54 Danbury Rd # 357
Ridgefield, CT 06877-4019
Phone (475) 215-1936
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018130-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Every Mind Speech LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
54 Danbury Rd
Ridgefield, CT 06877
Phone (475) 215-1936
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.
-
- Speech-Language Pathologist
- Ridgefield, CT
- NPI 1437854817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1164658159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 DANBURY RD # 357",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774019",
"telephone_number": "475-215-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 DANBURY RD STE 357",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774019",
"telephone_number": "475-215-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "RACHEL",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2023-03-29",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018130-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.