Juliet P Tackler, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012669-1 Issued in NY

Practice address

95 Bradhurst Ave
Blythedale Children's Hospital
Valhalla, NY 10595-2701

Phone

(914) 592-7555

NPI assigned

Oct 31, 2008

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

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1427201664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MERITT CT",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362701",
            "telephone_number": "914-232-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BRADHURST AVE",
            "address_2": "BLYTHEDALE CHILDREN'S HOSPITAL",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105952701",
            "telephone_number": "914-592-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKLER",
        "first_name": "JULIET",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012669-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avanti Suresh, MD
• Shwe Synn
• Kristina Szatkowski
• Matthew John Szawaluk, PA-C
• David Szczerepa, MD
• Nainesh Tailor
• Rachel Talley-Bruns, M.D.
• Gary Lawrence Tallini, FNP
• Zachary Tamweber, MD
• Renu Taneja, PA-C

• Speech-Language Pathologist in Valhalla, NY
• Providers in Valhalla, 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 4, 2008; 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.