Individual provider Active NPI

Suzanne Dorman, MA,CCC-SLP

  • Speech-Language Pathologist
  • Harlingen, TX
National Provider Identifier
1285791608
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19397 Issued in TX
Practice address
621 N 77 Sunshinestrip
Harlingen, TX 78550-8845
Phone
(956) 793-9886
Fax
(956) 421-7244
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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 19397 TX Primary

Addresses

Primary practice location

621 N 77 Sunshinestrip
Harlingen, TX 78550-8845

Mailing address

28239 The Dell Ave
Harlingen, TX 78552-2431
Phone (956) 793-9886

Other identifiers 1

IdentifierTypeStateIssuer
1782716-01MedicaidTX

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
19397TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Dorman Speech-Language Pathologist CurrentSince Oct 29, 2023 Accepting new patients
Health Success PastSince Aug 13, 2012 Accepting new patients

Organizations & group practices 2

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1285791608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28239 THE DELL AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785522431",
            "telephone_number": "956-793-9886",
            "fax_number": "956-421-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N 77 SUNSHINESTRIP",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508845",
            "telephone_number": "956-793-9886",
            "fax_number": "956-421-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1782716-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.