Individual provider Active NPI

Corinne Elissa Viscomi, CCC-SLP

  • Speech-Language Pathologist
  • Katonah, NY
National Provider Identifier
1194253633
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
026487-1 Issued in NY
Practice address
190 Goldens Bridge Rd Ste 5
Katonah, NY 10536
Phone
(914) 893-2223
NPI assigned
May 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 026487-1 NY Primary

Addresses

Primary practice location

190 Goldens Bridge Rd Ste 5
Katonah, NY 10536

Mailing address

190 Goldens Bridge Rd Ste 5
Katonah, NY 10536-2804
Phone (914) 893-2223

Other practice location 1

22 Wampus Ave
Armonk, NY 10504-1929
Phone (914) 439-1241

Other practice location 2

190 Goldens Bridge Rd Ste 5
Katonah, NY 10536
Phone (914) 893-2223

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

LicenseStateTypeSpecialty
026487-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Corinne Viscomi, Speech-Language Pathologist PLLC Speech-Language Pathologist CurrentSince Nov 24, 2019 Accepting new patients

Locations

190 Goldens Bridge Rd
Ste 5
Katonah, NY 10536
Phone (914) 875-9430

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": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1194253633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD STE 5",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362804",
            "telephone_number": "914-893-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD STE 5",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "10536",
            "telephone_number": "914-893-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Wampus Ave",
            "address_purpose": "LOCATION",
            "city": "Armonk",
            "state": "NY",
            "postal_code": "105041929",
            "country_code": "US",
            "telephone_number": "19144391241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Goldens Bridge Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Katonah",
            "state": "NY",
            "postal_code": "10536",
            "country_code": "US",
            "telephone_number": "914-893-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCOMI",
        "first_name": "CORINNE",
        "middle_name": "ELISSA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026487-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.