Individual provider Active NPI

Rachelle Sussholz

  • Speech-Language Pathologist
  • Airmont, NY
National Provider Identifier
1295525863
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
386 Route 59 Ste 102
Airmont, NY 10952-3428
Phone
(845) 368-7927
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

386 Route 59 Ste 102
Airmont, NY 10952-3428

Mailing address

22 Edison CT Apt E
Monsey, NY 10952-1921
Phone (845) 709-1025

Other names 1

  • Rachelle Blatt Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Judi Dobner Speech Therapy PLLC Speech-Language Pathologist CurrentSince May 11, 2025 Accepting new patients
Judi Dobner Therapist Agency LLC Early Intervention Provider Agency PastSince May 11, 2025 Accepting new patients

Locations

386 Route 59
Ste 102
Airmont, NY 10952
Phone (845) 368-7927

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": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1295525863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 EDISON CT APT E",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521921",
            "telephone_number": "845-709-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 ROUTE 59 STE 102",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523428",
            "telephone_number": "845-368-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSHOLZ",
        "first_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "BLATT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Airmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.