Individual provider Active NPI

Valery Salas-Sullivan

  • Speech-Language Pathologist
  • Danbury, CT
National Provider Identifier
1265661748
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012364-1 Issued in NY
Practice address
185 Westville Avenue Ext
Danbury, CT 06811-4438
Phone
(203) 748-5059
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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 012364-1 NY Primary

Addresses

Primary practice location

185 Westville Avenue Ext
Danbury, CT 06811-4438

Mailing address

185 Westville Avenue Ext
Danbury, CT 06811-4438
Phone (203) 748-5059

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
012364-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Putnam County Chapter Past Accepting new patients

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1265661748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WESTVILLE AVENUE EXT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114438",
            "telephone_number": "203-748-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WESTVILLE AVENUE EXT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114438",
            "telephone_number": "203-748-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS-SULLIVAN",
        "first_name": "VALERY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012364-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.