Organization Active NPI

University at Buffalo Speech-Language & Hearing Clinic Inc

  • Hearing and Speech Clinic/Center
  • Buffalo, NY
National Provider Identifier
1457337990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
1500001003 Issued in NY
Legal business name
UNIVERSITY AT BUFFALO SPEECH-LANGUAGE & HEARING CLINIC INC
Practice address
52 Biomedical Education BLDG
Buffalo, NY 14214-8016
Phone
(716) 829-3980
Fax
(716) 829-3974
NPI assigned
Dec 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan Ann T Roberts, AUD
Title
Clinic Director Associate Professor
Phone
(716) 829-2797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 1500001003 NY Primary

Addresses

Primary practice location

52 Biomedical Education BLDG
Buffalo, NY 14214-8016

Mailing address

52 Biomedical Education BLDG
Buffalo, NY 14214-8016
Phone (716) 829-3980

Other identifiers 2

IdentifierTypeStateIssuer
00011240404OtherUNIVERA
9210117OtherINDEPENDENT HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457337990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BIOMEDICAL EDUCATION BLDG",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148016",
            "telephone_number": "716-829-3980",
            "fax_number": "716-829-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BIOMEDICAL EDUCATION BLDG",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148016",
            "telephone_number": "716-829-3980",
            "fax_number": "716-829-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY AT BUFFALO SPEECH-LANGUAGE & HEARING CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SUSAN ANN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINIC DIRECTOR ASSOCIATE PROFESSOR",
        "authorized_official_telephone_number": "716-829-2797",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "1500001003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011240404",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9210117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.