Active NPI
Stephanie S Perry, SLP-CCC
- Speech-Language Pathologist
- Bellmore, NY
National Provider Identifier
1477820728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 015545-1
- Practice address
- 580 Winthrop Ave
Bellmore, NY 11710-4237 - Phone
- (516) 679-2941
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Bellmore, NY
- NPI 1750419024
-
- Local Education Agency (LEA)
- Bellmore, NY
- NPI 1346524741
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015545-1 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellmore Ufsd | Past | Accepting new patients | |
| Bellmore Union Free School District | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 015545-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
580 Winthrop Ave
Bellmore, NY 11710-4237
Mailing address
580 Winthrop Ave
Bellmore, NY 11710-4237
Phone (516) 679-2941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2011.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1477820728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 WINTHROP AVE",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117104237",
"telephone_number": "516-679-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 WINTHROP AVE",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117104237",
"telephone_number": "516-679-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "STEPHANIE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "015545-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.