Active NPI
Yisrael Schecter, CCC-SLP
- Speech-Language Pathologist
- Dallas, TX
National Provider Identifier
1467606103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00448800
- Practice address
- 12480 Hillcrest Rd. D-11
Dallas, TX 75230 - Phone
- (972) 364-9085
- NPI assigned
- Nov 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00448800 | NJ | Primary |
| Speech-Language Pathologist | 235Z00000X | 106318 | TX |
Addresses
Primary practice location
12480 Hillcrest Rd. D-11
Dallas, TX 75230
Mailing address
42 Miller Rd
Lakewood, NJ 08701-2918
Phone (732) 779-6030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106318 | Other | TX | STATE 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08927 | MD | MD | Pharmacist |
| 41YS00448800 | NJ | MD | Speech-Language Pathologist |
| 106318 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1467606103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 MILLER RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012918",
"telephone_number": "732-779-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12480 HILLCREST RD. D-11",
"city": "DALLAS",
"state": "TX",
"postal_code": "75230",
"telephone_number": "972-364-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHECTER",
"first_name": "YISRAEL",
"name_prefix": "Mr.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-07",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00448800",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106318",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "106318",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.