Individual provider Active NPI

Stephanie Gawel, MS CCC- SLP

  • Speech-Language Pathologist
  • Wallingford, CT
National Provider Identifier
1437534369
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004864 Issued in CT
Practice address
16 Powers Rd
Wallingford, CT 06492-5412
Phone
(203) 804-2773
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004864 CT Primary

Addresses

Primary practice location

16 Powers Rd
Wallingford, CT 06492-5412

Mailing address

16 Powers Rd
Wallingford, CT 06492-5412
Phone (203) 804-2773

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
004864CTMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1437534369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POWERS RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925412",
            "telephone_number": "203-804-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POWERS RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925412",
            "telephone_number": "203-804-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWEL",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.