Suzanne K Russell, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12112499 Issued in NY

Practice address

1490 State Route 488
Clifton Springs, NY 14432-9308

Phone

(315) 548-6420

NPI assigned

Oct 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Phelps Clifton Springs School District

  • Local Education Agency (LEA)
  • Clifton Springs, NY
  • NPI 1457628281
  NPD (past)
• Phelps-Clifton Springs Central School District

  • Local Education Agency (LEA)
  • Clifton Springs, NY
  • NPI 1982759700
  NPD (past)

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1528343522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 COUNTY ROAD 16",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242443",
            "telephone_number": "905-585-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 STATE ROUTE 488",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144329308",
            "telephone_number": "315-548-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SUZANNE",
        "middle_name": "K",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "12112499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Rockefeller
• Stanko Rodic, MD
• Ryane Rodness
• David Roemer, M.D.
• Robert L Rosenblatt, D.O.
• Elizabeth Russo, ANP-BC
• Gail E Safford
• Cyrus Salehi, PA-C
• John R Salisbury, AUD
• Grace Marie Saxe, LCSW

• Speech-Language Pathologist in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.