Individual provider Active NPI

Yamilleth Galluccio, BILINGUAL-TSHH

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1558643445
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
454 Bay Ridge Ave
Ground Level
Brooklyn, NY 11220-5906
Phone
(718) 333-5665
NPI assigned
Sep 15, 2011
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

454 Bay Ridge Ave
Ground Level
Brooklyn, NY 11220-5906

Mailing address

40 89TH St
Apt 2G
Brooklyn, NY 11209-5551
Phone (718) 290-6999

Other names 1

  • Miss Yamilleth Gutierrez Other name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1558643445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 89TH ST",
            "address_2": "APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095551",
            "telephone_number": "718-290-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 BAY RIDGE AVE",
            "address_2": "GROUND LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205906",
            "telephone_number": "718-333-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUCCIO",
        "first_name": "YAMILLETH",
        "name_prefix": "Mrs.",
        "credential": "BILINGUAL-TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAMILLETH",
            "last_name": "GUTIERREZ",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.