Individual provider Active NPI

Emily Sudhoff, SLP

  • Speech-Language Pathologist
  • Meriden, CT
National Provider Identifier
1245863307
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5852 Issued in CT
Practice address
816 Broad St Ste 17
Meriden, CT 06450-4350
Phone
(203) 699-9641
Fax
(203) 699-9641
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 5852 CT Primary

Addresses

Primary practice location

816 Broad St Ste 17
Meriden, CT 06450-4350

Mailing address

382 S Main St
Cheshire, CT 06410-3115
Phone (203) 250-9663

Other practice location 1

382 S Main St
Cheshire, CT 06410-3115
Phone (203) 250-9663

Other practice location 2

308 Racebrook Road
Orange, CT 06477-9976
Phone (203) 920-1885

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Fitness Zone, LLC Speech-Language Pathologist CurrentSince Jul 5, 2020 Accepting new patients

Locations

382 S Main St
Cheshire, CT 06410

308 Racebrook Rd
Orange, CT 06477
Phone (203) 920-1885

157 Litchfield St
Torrington, CT 06790
Phone (860) 489-1328

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1245863307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103115",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BROAD ST STE 17",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504350",
            "telephone_number": "203-699-9641",
            "fax_number": "203-699-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064103115",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Racebrook Road",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064779976",
            "country_code": "US",
            "telephone_number": "203-920-1885",
            "fax_number": "203-920-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDHOFF",
        "first_name": "EMILY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "5852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.