Individual provider Active NPI

Roberta Janis Wetherbee, MA,CCC-SLP, TSHH

  • Speech-Language Pathologist
  • Dobbs Ferry, NY
National Provider Identifier
1265684534
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010558-01 Issued in NY
Practice address
71 Northfield Ave
Dobbs Ferry, NY 10522-1518
Phone
(914) 261-3007
Fax
(914) 693-8544
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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 010558-01 NY Primary

Addresses

Primary practice location

71 Northfield Ave
Dobbs Ferry, NY 10522-1518

Mailing address

71 Northfield Ave
Dobbs Ferry, NY 10522-1518
Phone (914) 261-3007

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
010558-01NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1265684534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 NORTHFIELD AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221518",
            "telephone_number": "914-261-3007",
            "fax_number": "914-693-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 NORTHFIELD AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221518",
            "telephone_number": "914-261-3007",
            "fax_number": "914-693-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERBEE",
        "first_name": "ROBERTA",
        "middle_name": "JANIS",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP, TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010558-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.