Active NPI
Joelle Marie Von Bischoffshausen, CCC-SLP
- Speech-Language Pathologist
- Poughkeepsie, NY
National Provider Identifier
1194095299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021603-1
- Practice address
- 101 Mansion St
Poughkeepsie, NY 12601-2412 - Phone
- (845) 451-4690
- Fax
- (845) 451-4701
- NPI assigned
- Jan 5, 2012
- 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 | 021603-1 | NY | Primary |
Addresses
Primary practice location
101 Mansion St
Poughkeepsie, NY 12601-2412
Mailing address
58 S Manheim Blvd
Apt. 1
New Paltz, NY 12561-2462
Phone (732) 407-3419
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021603-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1194095299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 S MANHEIM BLVD",
"address_2": "APT. 1",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612462",
"telephone_number": "732-407-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANSION ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012412",
"telephone_number": "845-451-4690",
"fax_number": "845-451-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON BISCHOFFSHAUSEN",
"first_name": "JOELLE",
"middle_name": "MARIE",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021603-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.