Active NPI
Mary T Samuels, SLP
- Speech-Language Pathologist
- Utica, NY
National Provider Identifier
1255648341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002818-1
- Practice address
- 106 Memorial Pkwy
Utica, NY 13501-4818 - Phone
- (315) 368-6565
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 002818-1 | NY | Primary |
Addresses
Primary practice location
106 Memorial Pkwy
Utica, NY 13501-4818
Mailing address
3006 Oneida St
Sauquoit, NY 13456-2916
Phone (315) 737-8240
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002818-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1255648341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 ONEIDA ST",
"city": "SAUQUOIT",
"state": "NY",
"postal_code": "134562916",
"telephone_number": "315-737-8240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MEMORIAL PKWY",
"city": "UTICA",
"state": "NY",
"postal_code": "135014818",
"telephone_number": "315-368-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "MARY",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "002818-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
- Karen Rose Salvatore
- Arin Abdul Samad
- Samaritan Counseling Center of the Mohawk Valley, Inc
- Samaritan Counseling Center of the Mohawk Valley, Inc
- Samaritan Counseling Center of the Mohawk Valley, Inc.
- Maysae Sancrown, FNP
- Nicole Rae Sandlass, CASAC
- Cari L Sans, LMFT
- Maria Santa Maria
- John Anthony Santare, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.