Michele Desimone, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017905 Issued in NY

Practice address

8 Johnson St
Staten Island, NY 10309-1148

Phone

(718) 979-5678

NPI assigned

Oct 29, 2009

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• The Sensory Studio SLP OT PLLC

  • Rehabilitation Clinic/Center
  • Staten Island, NY
  • NPI 1588027692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1558697367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JOHNSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091148",
            "telephone_number": "718-979-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JOHNSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091148",
            "telephone_number": "718-979-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Richmond Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103145904",
            "country_code": "US",
            "telephone_number": "718-979-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103012638",
            "country_code": "US",
            "telephone_number": "718-979-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "MICHELE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorrie Desena
• Salvatore Desena, MD
• Nicolette Deserio
• Jose Antonio Desiderio, LMHC
• Samantha Desiderio, LMHC
• Benjamin Desir
• Maykel Desir
• Antonio G Desposito, DC
• Hilde Emmaline Dessalines
• Dagim Desta, MD

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 May 24, 2023; 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.