Individual provider Active NPI

Rouchelle Deux, MSED, CCC-SLP

  • Early Intervention Provider Agency
  • Mount Vernon, NY
National Provider Identifier
1346641214
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
834709141 Issued in NY
Practice address
30 Linden Ave
Mount Vernon, NY 10552-3107
Phone
(646) 748-2302
NPI assigned
Sep 10, 2014
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 034254 NY
Early Intervention Provider Agency 252Y00000X 834709141 NY Primary

Addresses

Primary practice location

30 Linden Ave
Mount Vernon, NY 10552-3107

Mailing address

30 Linden Ave
Mount Vernon, NY 10552-3107
Phone (646) 748-2302

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

LicenseStateTypeSpecialty
034254NYMDSpeech-Language Pathologist
834709141NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Development Resources LLC Early Intervention Provider Agency CurrentSince Nov 24, 2024 Accepting new patients

Organizations & group practices 1

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1346641214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LINDEN AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523107",
            "telephone_number": "646-748-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LINDEN AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523107",
            "telephone_number": "646-748-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUX",
        "first_name": "ROUCHELLE",
        "credential": "MSED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034254",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "834709141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.