Pamela Green, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019311 Issued in NY

Practice address

2214 Stillwell Ave
Brooklyn, NY 11223-4250

Phone

(718) 947-3250

NPI assigned

May 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keep Talking Speech Language Services PLLC

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1689063364

  NY

  Medicare reassignment NPD Authorized official
• Block Institute, Inc.

  • Developmental Disabilities Clinic/Center
  • Brooklyn, NY
  • NPI 1386722346
  Medicare reassignment NPD
• Caring SLP, Psychology, OT & Nutrition Services, PLLC

  • Contractor
  • Newburgh, NY
  • NPI 1699226217
  Medicare reassignment NPD
• Complete SLP, OT, PT & Psychology Services, PLLC

  • Contractor
  • Bronx, NY
  • NPI 1437616026
  Medicare reassignment NPD
• Superior Clinical Care PLLC

  • Contractor
  • Staten Island, NY
  • NPI 1154487122
  Medicare reassignment NPD

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1346532710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032009",
            "telephone_number": "917-584-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234250",
            "telephone_number": "718-947-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PAMELA",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miaalversia N Green, LPN
• Michele Dawn Green
• Natalie Green
• Natasha Green, NURSE PRACTITIONER
• Norma Ruth Green, MD
• Patricia Green
• Pessie Elisa Green, CCC-SLP
• Reonika Green
• Rivky Green
• Ryan Green, LMHC

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.