Stephanie Marlies Smith, M.S., CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024533-1 Issued in NY

Practice address

990 Dekalb Ave
Brooklyn, NY 11221-2001

Phone

(718) 574-7994

Fax

(718) 919-5304

NPI assigned

Dec 6, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237

  Speech-Language Pathologist

  Medicare reassignment NPD
• Theralympic Speech Therapy PLLC

  • Early Intervention Provider Agency
  • Ronkonkoma, NY
  • NPI 1730665043

  Speech-Language Pathologist

  Medicare reassignment NPD
• Andrea E Nomberg Physician PC

  • Family Medicine Physician
  • Ronkonkoma, NY
  • NPI 1295394120
  NPD

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1528502820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212001",
            "telephone_number": "718-574-7994",
            "fax_number": "718-919-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "MARLIES",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024533-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Smith III, PH.D.
• Sonia Margaret Smith, PHD
• Sonjia Smith, LMFT
• Stacey Anne Smith, M.D.
• Stefon Smith, LMSW
• Stephen Mark Smith, PH.D.
• Steven James Smith, MD
• Susan Smith, TEACHER
• Susan Patricia Smith, RN
• Suzan Smith, RN

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.