Active NPI
Stephanie Marie Perillo, M.A.
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1346514270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106734
- Practice address
- 9900 Westpark Dr
Suite 100
Houston, TX 77063-5277 - Phone
- (713) 528-3030
- NPI assigned
- Feb 23, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106734 | TX | Primary |
Addresses
Primary practice location
9900 Westpark Dr
Suite 100
Houston, TX 77063-5277
Mailing address
1811 Parkview Dr
Friendswood, TX 77546-5883
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1346514270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 PARKVIEW DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 WESTPARK DR",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635277",
"telephone_number": "713-528-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERILLO",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Perferred Diagnostic Solutions, Inc
- Performance Excellence Corporation
- Performance Pain and Sports Medicine, PLLC
- Performance Pain and Sports Medicine, PLLC
- Santhi Periasamy, PH.D.
- Steven Kyle Perilman, MD
- Emerson C Perin, M.D.
- Jacqueline Grant Perin, LPC-INTERN
- Rahsheda Perine, PHD
- Shiny Saji Perinjelil, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.