Active NPI
Debra L Cecere, MS
- Speech-Language Pathologist
- Fairport, NY
National Provider Identifier
1467552349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4352
- Practice address
- 370 Cross Keys Office Park
Fairport, NY 14450-3511 - Phone
- (585) 425-7710
- Fax
- (585) 425-1859
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4352 | NY | Primary |
Addresses
Primary practice location
370 Cross Keys Office Park
Fairport, NY 14450-3511
Mailing address
370 Cross Keys Office Park
Fairport, NY 14450-3511
Phone (585) 425-7710
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FA0017 | Other | NY | PREFERRED CARE |
| PO10004352 | Other | NY | BLUE CHOICE AND MONROE PL |
| 7063193 | Other | NY | AETNA |
| 000911539001 | Other | NY | HEALTH NOW |
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 |
|---|---|---|---|
| 4352 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Speech | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing and Speech Clinic/Center
- Fairport, NY
- NPI 1730277385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467552349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 CROSS KEYS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503511",
"telephone_number": "585-425-7710",
"fax_number": "585-425-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 CROSS KEYS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503511",
"telephone_number": "585-425-7710",
"fax_number": "585-425-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECERE",
"first_name": "DEBRA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "4352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "FA0017",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE AND MONROE PL",
"identifier": "PO10004352",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7063193",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000911539001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
- Casira Mental Health Counseling PLLC
- Linda Casira, LMHC
- Jessica Castor, DPT
- Catherine a. Miller, M.D., P.C. (Perinton Dermatology)
- Stephanie Janet Catlin-Rakoski, LMHC
- Center for Autism & Related Disorders, Inc (Card, Inc.)
- Center for Autism and Related Disorders
- Center for Autism and Related Disorders
- Heather Michele Chatt, DPT, OCS, CERT. MDT
- Anaivis Chinea Denis, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.