Stefanie Doherty, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019698-1 Issued in NY

Practice address

46 Brockley Dr
Delmar, NY 12054-2300

Phone

(518) 424-0137

NPI assigned

Dec 10, 2009

Last updated

Dec 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1235468802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BROCKLEY DR",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542300",
            "telephone_number": "518-424-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BROCKLEY DR",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542300",
            "telephone_number": "518-424-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "STEFANIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019698-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03661589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle William Dick, OTR/L
• Nicole Dieterle, RPH
• Dinapoli & Dinapoli, Inc.
• Dinapoli and Dinapoli, Inc.
• Tiffany Disher, PA-C
• Donna Goukler, O.D., P.C.
• Michelle S Donnelly, LMSW
• Philip T Drew, MD
• Kathleen A Durivage, LCSW
• Kate Elise Dushane, RPH

• Speech-Language Pathologist in Delmar, NY
• Providers in Delmar, 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 Dec 6, 2016; 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.