Individual provider Active NPI

Lisa Angela Velella, MA., CCC-SLP

  • Speech-Language Pathologist
  • Valhalla, NY
National Provider Identifier
1316154099
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09226-1 Issued in NY
Practice address
30 Plaza W
Vosburgh Pavilion
Valhalla, NY 10595-1572
Phone
(914) 594-4912
Fax
(914) 594-4853
NPI assigned
May 16, 2007
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 09226-1 NY Primary

Addresses

Primary practice location

30 Plaza W
Vosburgh Pavilion
Valhalla, NY 10595-1572

Mailing address

22 Saw Mill River Road-2ND Floor
Hawthorne, NY 10532-1533
Phone (888) 633-0033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318002413 NY Practitioner - Qualified Speech Language Pathologist 6800113481 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09226-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children's Health Physicians, LLP CurrentSince Mar 1, 2015 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Mar 1, 2015 Accepting new patients

Locations

22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606

40 Saw Mill River Rd
Hawthorne, NY 10532
Phone (914) 345-8888

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

30 Plaza W
Valhalla, NY 10595
Phone (914) 594-4912

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1316154099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SAW MILL RIVER ROAD-2ND FLOOR",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321533",
            "telephone_number": "888-633-0033",
            "fax_number": "914-593-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PLAZA W",
            "address_2": "VOSBURGH PAVILION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951572",
            "telephone_number": "914-594-4912",
            "fax_number": "914-594-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELELLA",
        "first_name": "LISA",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "MA., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "09226-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.