Active NPI
Cecilia Elisabet Tello Espejo
- Speech-Language Pathologist
- Stamford, CT
National Provider Identifier
1558098145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018022-01
- Practice address
- 1180 Newfield Ave
Stamford, CT 06905-1409 - Phone
- (314) 888-5233
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 018022-01 | NY | Primary |
Addresses
Primary practice location
1180 Newfield Ave
Stamford, CT 06905-1409
Mailing address
300 45TH St Apt 2E
Union City, NJ 07087-5070
Phone (718) 813-3692
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1558098145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 45TH ST APT 2E",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070875070",
"telephone_number": "718-813-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 NEWFIELD AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051409",
"telephone_number": "314-888-5233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLO ESPEJO",
"first_name": "CECILIA",
"middle_name": "ELISABET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018022-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.