Active NPI
Christina Skuburdis, MS, CCC-SLP
- Speech-Language Pathologist
- Stamford, CT
National Provider Identifier
1457650715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003024
- Practice address
- 2043 Bedford St
Stamford, CT 06905-3901 - Phone
- (203) 849-0021
- Fax
- (203) 849-0021
- NPI assigned
- Mar 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 03-040890 | CT | |
| Speech-Language Pathologist | 235Z00000X | 003024 | CT | Primary |
| Speech-Language Pathologist | 235Z00000X | 009912-1 | NY |
Addresses
Primary practice location
2043 Bedford St
Stamford, CT 06905-3901
Mailing address
2043 Bedford St
Stamford, CT 06905-3901
Phone (203) 849-0021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-040890 | Other | CT | SPEECH PATHOLOGIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03-040890 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina Skuburids, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Stamford, CT
- NPI 1811434871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1457650715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2043 BEDFORD ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053901",
"telephone_number": "203-849-0021",
"fax_number": "203-849-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 BEDFORD ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053901",
"telephone_number": "203-849-0021",
"fax_number": "203-849-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKUBURDIS",
"first_name": "CHRISTINA",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "03-040890",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "003024",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009912-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGIST LICENSE",
"identifier": "03-040890",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.