NPIMap

Organization Active NPI

Shannon L. Bender, M.S., CCC-SLP, LLC

  • Early Intervention Provider Agency
  • Valley Cottage, NY
National Provider Identifier
1508019365
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0146781 Issued in NY
Legal business name
SHANNON L. BENDER, M.S., CCC-SLP, LLC
Practice address
40 Forest Glen Rd
Valley Cottage, NY 10989-1200
Phone
(845) 709-5181
Fax
(845) 268-3205
NPI assigned
Oct 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shannon L Bender, MS CCC-SLPNPI 1487807046
Title
Speech Language Pathologist/ Owner
Phone
(845) 709-5181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 0146781 NY Primary

Addresses

Primary practice location

40 Forest Glen Rd
Valley Cottage, NY 10989-1200

Mailing address

40 Forest Glen Rd
Valley Cottage, NY 10989
Phone (845) 709-5181

Other names 1

  • Children's Home Therapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1508019365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOREST GLEN RD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "10989",
            "telephone_number": "845-709-5181",
            "fax_number": "845-268-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOREST GLEN RD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891200",
            "telephone_number": "845-709-5181",
            "fax_number": "845-268-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON L. BENDER, M.S., CCC-SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "845-709-5181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0146781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Home Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Cottage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.