Ellen M Samuels, MS, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00724-1 Issued in NY

Practice address

30 Greenridge Ave
Unit 2-D
White Plains, NY 10605-1237

Phone

(914) 946-1177

Fax

(914) 946-1177

NPI assigned

Sep 16, 2010

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 Science

State licenses

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1164730859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GREENRIDGE AVE",
            "address_2": "UNIT 2-D",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051237",
            "telephone_number": "914-946-1177",
            "fax_number": "914-946-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GREENRIDGE AVE",
            "address_2": "UNIT 2-D",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051237",
            "telephone_number": "914-946-1177",
            "fax_number": "914-946-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "00724-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keishondra Sampson
• Samuel Boris Drassinower, M.D., P.C.
• Janice Samuel Powell, SDL
• Dahniel Samuel, LPN
• Jennifer Faith Samuel, RN
• Leslie M San Martin
• Ebbin Sanabria
• Beatriz Alicia Sanchez, M.D.
• Julia Rose Sanchez
• Lucille Sanchez, MSW

• Speech-Language Pathologist in White Plains, NY
• Providers in White Plains, 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 Sep 16, 2010; 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.