Maryellen A. Griffin, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06758 Issued in NY

Practice address

101 Church St
Nanuet, NY 10954-3030

Phone

(845) 627-9816

Fax

(845) 627-6958

NPI assigned

Nov 10, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1396022943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHURCH ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543030",
            "telephone_number": "845-627-9816",
            "fax_number": "845-627-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHURCH ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543030",
            "telephone_number": "845-627-9816",
            "fax_number": "845-627-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MARYELLEN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "06758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Risa Schwed Gorelick
• Paul Edward Gould, DDS
• James Joseph Gregory, D.C.
• Richard John Gregory, DC
• Robert A.D. Gregory, D.C.
• Stacey Guignard
• Darragh Guilfoyle, RN
• Estephany Yomara Gutierrez
• Perpetual Gyimah, PMHNP-BC
• Dyamond Hagans-Rooney

• Speech-Language Pathologist in Nanuet, NY
• Providers in Nanuet, 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 Nov 10, 2011; 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.