South Glens Falls Central School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SOUTH GLENS FALLS CENTRAL SCHOOL

Practice address

42 Merritt Road
Suite 1
South Glens Falls, NY 12803-5704

Phone

(518) 793-9617

Fax

(518) 730-7623

NPI assigned

Dec 28, 2006

Last updated

May 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin M Fottrell

Title

Assistant Superintendent for Busine

Phone

(518) 793-9619

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Arline Difiore, CCC-SLP

  • Speech-Language Pathologist
  • South Glens Falls, NY
  • NPI 1194092429
  NPD (past)
• Kerrie Miksch, M.S.ED., CCC-SLP

  • Speech-Language Pathologist
  • South Glens Falls, NY
  • NPI 1417796095
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1336205087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MERRITT ROAD",
            "address_2": "SUITE 1",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128035704",
            "telephone_number": "518-793-9617",
            "fax_number": "518-730-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MERRITT ROAD",
            "address_2": "SUITE 1",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128035704",
            "telephone_number": "518-793-9617",
            "fax_number": "518-730-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GLENS FALLS CENTRAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "FOTTRELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT FOR BUSINE",
        "authorized_official_telephone_number": "518-793-9619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01383320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Russom, OTR/L
• Danielle Scacchetti, LPN
• Nicole Shakow
• Danielle Shaw
• SJSF Enterprises LLC (neb docs of new york)
• Julie Diane Spoor, SLP
• Stephanie Dechene LCSW-R
• Sarah Vernon, L.P.N.
• Walgreen Co (Walgreens #17860)
• Gloria Christine Wentworth, REGISTERED NURSE

• Local Education Agency (LEA) in South Glens Falls, NY
• Providers in South Glens Falls, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.