Individual provider Active NPI

Jaridy Fabre, CCC-SLP

  • Speech-Language Pathologist
  • Dobbs Ferry, NY
National Provider Identifier
1487906376
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
027622 Issued in NY
Practice address
50 Hamilton St
4TH FLR, Ste 9
Dobbs Ferry, NY 10522
Phone
(917) 946-4179
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 027622 NY Primary

Addresses

Primary practice location

50 Hamilton St
4TH FLR, Ste 9
Dobbs Ferry, NY 10522

Mailing address

50 Hamilton St
4TH FLR, Ste 9
Dobbs Ferry, NY 10522
Phone (917) 946-4179

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somos Bilingues SLP Speech-Language Pathologist CurrentSince Jan 21, 2022 Accepting new patients

Locations

50 Hamilton St
Ste 4
Dobbs Ferry, NY 10522
Phone (914) 306-0863

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.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1487906376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HAMILTON ST",
            "address_2": "4TH FLR, STE 9",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "917-946-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HAMILTON ST",
            "address_2": "4TH FLR, STE 9",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "917-946-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRE",
        "first_name": "JARIDY",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.