Individual provider Active NPI

Chandra Wells, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Albany, NY
National Provider Identifier
1285069492
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023665 Issued in NY
Practice address
33 Betwood St
Albany, NY 12209
Phone
(518) 417-1786
Fax
(518) 708-6961
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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 023665 NY Primary

Addresses

Primary practice location

33 Betwood St
Albany, NY 12209

Mailing address

33 Betwood St
Albany, NY 12209-1202
Phone (518) 417-1786

Other practice location 1

1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4530

Other practice location 2

33 Betwood St
Albany, NY 12209
Phone (518) 417-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218003947 NY Practitioner - Qualified Speech Language Pathologist 0446609333 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cogito Speech Therapy PLLC CurrentSince Oct 5, 2023 Accepting new patients

Locations

10 McKown Rd
Ste 220
Albany, NY 12203
Phone (518) 257-6747

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1285069492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BETWOOD ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091202",
            "telephone_number": "518-417-1786",
            "fax_number": "518-708-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BETWOOD ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12209",
            "telephone_number": "518-417-1786",
            "fax_number": "518-708-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-382-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Betwood St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12209",
            "country_code": "US",
            "telephone_number": "518-417-1786",
            "fax_number": "518-708-6961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CHANDRA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.