Individual provider Active NPI

Sadie Greene-Kaufman, MS/CCC-SLP

  • Speech-Language Pathologist
  • Goshen, NY
National Provider Identifier
1366034225
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
031651 Issued in NY
Practice address
1997 Route 17M Ste 9
Goshen, NY 10924-5233
Phone
(845) 294-4787
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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 031651 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

1997 Route 17M Ste 9
Goshen, NY 10924-5233

Mailing address

1997 Route 17M Ste 9
Goshen, NY 10924-5233
Phone (845) 294-4787

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 Science

State licenses

LicenseStateTypeSpecialty
031651NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Station, LLP. Speech-Language Pathologist CurrentSince Jul 24, 2022 Accepting new patients
Teshonnell Inc. CurrentSince Feb 14, 2021 Accepting new patients

Locations

1997 Route 17M
Ste 9
Goshen, NY 10924
Phone (845) 283-2012

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1366034225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 ROUTE 17M STE 9",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245233",
            "telephone_number": "845-294-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 ROUTE 17M STE 9",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245233",
            "telephone_number": "845-294-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE-KAUFMAN",
        "first_name": "SADIE",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031651",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.