Active NPI
Suzana Paulos
- Speech-Language Pathologist
- Fairfield, CT
National Provider Identifier
1265770267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004590
- Practice address
- 1300 Post Rd Ste 204
Fairfield, CT 06824-6038 - Phone
- (203) 255-3669
- Fax
- (203) 254-3790
- NPI assigned
- Jan 25, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 004590 | CT | Primary |
Addresses
Primary practice location
1300 Post Rd Ste 204
Fairfield, CT 06824-6038
Mailing address
1300 Post Road Suite 204
Center for Pediatric Therapy
Fairfield, CT 06824
Phone (203) 255-3669
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 |
|---|---|---|---|
| 004590 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1265770267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 POST ROAD SUITE 204",
"address_2": "CENTER FOR PEDIATRIC THERAPY",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-255-3669",
"fax_number": "203-254-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 POST RD STE 204",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246038",
"telephone_number": "203-255-3669",
"fax_number": "203-254-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULOS",
"first_name": "SUZANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "004590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.