Individual provider Active NPI

Shirley Varghese, M.A., CCC-SLP/TSHH

  • Speech-Language Pathologist
  • Hartsdale, NY
National Provider Identifier
1467606533
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010570-1 Issued in NY
Practice address
2 Secor GLN Rd
Hartsdale, NY 10530-1201
Phone
(845) 536-4070
NPI assigned
Nov 15, 2008
Last updated
May 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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 010570-1 NY Primary

Addresses

Primary practice location

2 Secor GLN Rd
Hartsdale, NY 10530-1201

Mailing address

2 Secor GLN Rd
Hartsdale, NY 10530-1201
Phone (845) 536-4070

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 Arts

State licenses

LicenseStateTypeSpecialty
010570-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Speech & Language Pathology, P.C. Speech-Language Pathologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1467606533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SECOR GLN RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301201",
            "telephone_number": "845-536-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SECOR GLN RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301201",
            "telephone_number": "845-536-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SHIRLEY",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP/TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-15",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010570-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.