Active NPI
Michelle Connolly, M.S., S.L.P.
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1205128329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 020947
- Practice address
- 116 W 32ND St
8TH Floor
New York, NY 10001-3212 - Phone
- (212) 564-2350
- Fax
- (212) 564-5896
- NPI assigned
- May 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 020947 | NY | Primary |
Addresses
Primary practice location
116 W 32ND St
8TH Floor
New York, NY 10001-3212
Mailing address
119 E 96TH St
Apt 22
New York, NY 10128-2521
Phone (646) 450-6424
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020947 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304812800000",
"number": "1205128329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 E 96TH ST",
"address_2": "APT 22",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282521",
"telephone_number": "646-450-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W 32ND ST",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013212",
"telephone_number": "212-564-2350",
"fax_number": "212-564-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "MICHELLE",
"credential": "M.S., S.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-08",
"last_updated": "2011-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.