Organization Active NPI

Michelle Mordukhayeva SLP PC

  • Speech-Language Pathologist
  • Glendale, NY
National Provider Identifier
1558285163
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MICHELLE MORDUKHAYEVA SLP PC
Practice address
9060 Union Tpke Apt 7F
Glendale, NY 11385-8070
Phone
(917) 215-0525
NPI assigned
Aug 6, 2026
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Michelle Mordukhayeva, CCC-SLP, BE, TSSLD
Title
SLP
Phone
(917) 215-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

9060 Union Tpke Apt 7F
Glendale, NY 11385-8070

Mailing address

9060 Union Tpke Apt 7F
Glendale, NY 11385-8070
Phone (917) 215-0525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1558285163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 UNION TPKE APT 7F",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113858070",
            "telephone_number": "917-215-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 UNION TPKE APT 7F",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113858070",
            "telephone_number": "917-215-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MORDUKHAYEVA SLP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "MORDUKHAYEVA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "917-215-0525",
        "authorized_official_credential": "CCC-SLP, BE, TSSLD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.