Individual provider Active NPI

Linda Marie Stelluti, SLP-CCC-TSHH

  • Speech-Language Pathologist
  • Port Chester, NY
National Provider Identifier
1568744274
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0128881 Issued in NY
Practice address
40 Olivia St
Port Chester, NY 10573-4802
Phone
(914) 934-7991
Fax
(914) 934-7991
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 0128881 NY Primary

Addresses

Primary practice location

40 Olivia St
Port Chester, NY 10573-4802

Mailing address

800 Main St E
West Harrison, NY 10604-2828
Phone (914) 949-3490

Other identifiers 1

IdentifierTypeStateIssuer
0128881OtherNYSPEECH PATHOLOGIST

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

State licenses

LicenseStateTypeSpecialty
0128881NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1568744274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST E",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042828",
            "telephone_number": "914-949-3490",
            "fax_number": "914-949-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OLIVIA ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734802",
            "telephone_number": "914-934-7991",
            "fax_number": "914-934-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLUTI",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "SLP-CCC-TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0128881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGIST",
            "identifier": "0128881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.