Active NPI
Trisha Ann Richardson-Verdile, M.S., CCC-SLP
- Speech-Language Pathologist
- Ballston Spa, NY
National Provider Identifier
1568616472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012524-1
- Practice address
- 3 Century Dr
Ballston Spa, NY 12020-4205 - Phone
- (518) 884-0226
- NPI assigned
- Nov 5, 2008
- 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 | 012524-1 | NY | Primary |
Addresses
Primary practice location
3 Century Dr
Ballston Spa, NY 12020-4205
Mailing address
3 Century Dr
Ballston Spa, NY 12020-4205
Phone (518) 312-8289
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012524-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1568616472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CENTURY DR",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120204205",
"telephone_number": "518-312-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CENTURY DR",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120204205",
"telephone_number": "518-884-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON-VERDILE",
"first_name": "TRISHA",
"middle_name": "ANN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012524-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballston Spa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.