Stephanie Gerlock Hubbell, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025287-1 Issued in NY

Practice address

1751 2ND Ave Apt 15B
New York, NY 10128-5378

Phone

(929) 777-0579

NPI assigned

Dec 16, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Communihub

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1174003172

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513382400000",
    "number": "1235645029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 2ND AVE APT 15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285378",
            "telephone_number": "929-777-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 2ND AVE APT 15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285378",
            "telephone_number": "929-777-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "STEPHANIE",
        "middle_name": "GERLOCK",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-16",
        "last_updated": "2017-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025287-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGIST REGISTRATION CERTIFICATE",
            "identifier": "025287-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce A. Hubbard, PHD
• Dorothy Jean Hubbard
• Giana Hubbard
• Susan Carol Hubbard, LM
• Evelyn Hubbell, PT, DPT
• Eric Hubbs, CPO
• Amara Marie Huber, FNP, MSN, BSN
• Carissa Ann Huber, CGC
• Christopher Huber, MD
• Eleanor Huber

• Speech-Language Pathologist in New York, NY
• Providers in New York, 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 16, 2017; 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.