Active NPI
Ellen Mary Lettrich, M.S., CCC-SLP
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1295974251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 020046
- Practice address
- 1305 York Ave
Fifth Floor
New York, NY 10021-5663 - Phone
- (212) 746-2226
- NPI assigned
- Feb 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL009461 | PA | |
| Speech-Language Pathologist | 235Z00000X | 020046 | NY | Primary |
Addresses
Primary practice location
1305 York Ave
Fifth Floor
New York, NY 10021-5663
Mailing address
1305 York Ave
Fifth Floor
New York, NY 10021-5663
Phone (212) 746-2226
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020046 | NY | MD | Psychologist |
| SL009461 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1295974251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 YORK AVE",
"address_2": "FIFTH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215663",
"telephone_number": "212-746-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 YORK AVE",
"address_2": "FIFTH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215663",
"telephone_number": "212-746-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETTRICH",
"first_name": "ELLEN",
"middle_name": "MARY",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-16",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009461",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.