Active NPI
Blessly Mathews
- Speech-Language Pathologist
- Port Chester, NY
National Provider Identifier
1346360773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 015641
- Practice address
- 1 Landmark SQ Apt 530
Port Chester, NY 10573-3353 - Phone
- (914) 481-4156
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 015641 | NY | Primary |
Addresses
Primary practice location
1 Landmark SQ Apt 530
Port Chester, NY 10573-3353
Mailing address
1 Landmark Square Unit#530
Port Chester, NY 10573
Phone (914) 481-4156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015641 | Other | NY | SPEECH LANGUAGE PATHOLOGY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015641 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346360773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LANDMARK SQUARE UNIT#530",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "10573",
"telephone_number": "914-481-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LANDMARK SQ APT 530",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105733353",
"telephone_number": "914-481-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "BLESSLY",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "015641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGY",
"identifier": "015641",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.