Active NPI
Stephanie Vallera Bay, M.A. CCC-SLP/L
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1295185072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.009610
- Practice address
- 1640 W Roosevelt Rd
415
Chicago, IL 60608-1316 - Phone
- (312) 413-2110
- Fax
- (312) 413-3709
- NPI assigned
- Jun 13, 2016
- 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 | 146.009610 | IL | Primary |
Addresses
Primary practice location
1640 W Roosevelt Rd
415
Chicago, IL 60608-1316
Mailing address
415 Warwick Dr
Naperville, IL 60565-2604
Phone (708) 351-6334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201118001984 | IL | Practitioner - Qualified Speech Language Pathologist | 3375954647 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Board of Trustees of the University of Illinois
Practice addresses (Care Compare)
1640 W Roosevelt Rd
Mc727
Chicago, IL 60608-1316
Phone (312) 413-1871
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009610 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Illinois Speech and Hearing | Speech-Language Pathologist | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Uic Assistive Technology Unit | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871
Organizations & group practices 26
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.
-
- Anatomic Pathology Physician
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- NPI 1386863819
IL
-
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- NPI 1073552022
-
- Federally Qualified Health Center (FQHC)
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- NPI 1124787908
-
- Internal Medicine Physician
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- NPI 1134118649
-
- Obstetrics & Gynecology Physician
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- NPI 1154541936
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1164461117
-
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1346596327
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356000236
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356367304
-
- Federally Qualified Health Center (FQHC)
- Cicero, IL
- NPI 1407166671
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1457523219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1295185072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 WARWICK DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605652604",
"telephone_number": "708-351-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 W ROOSEVELT RD",
"address_2": "415",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081316",
"telephone_number": "312-413-2110",
"fax_number": "312-413-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAY",
"first_name": "STEPHANIE",
"middle_name": "VALLERA",
"name_prefix": "Ms.",
"credential": "M.A. CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.009610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.