Individual provider Active NPI

Olga N Chernysheva

  • Speech-Language Pathologist
  • Coral Gables, FL
National Provider Identifier
1568914455
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ 7920 Issued in FL
Practice address
1436 Mendavia Ave
Coral Gables, FL 33146-1608
Phone
(786) 531-8841
NPI assigned
Oct 26, 2016
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU
Speech-Language Pathologist 235Z00000X SZ 7920 FL Primary

Addresses

Primary practice location

1436 Mendavia Ave
Coral Gables, FL 33146-1608

Mailing address

1436 Mendavia Ave
Coral Gables, FL 33146-1608
Phone (786) 531-8841

Other practice location 1

6071 SW 12th St
West Miami, FL 33144-5160
Phone (786) 531-8841

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SZ 7920FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Self-Expressions Therapy, Inc Speech-Language Pathologist CurrentSince Jan 28, 2024 Accepting new patients
Managed Care Med Solutions, Inc CurrentSince Nov 27, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1568914455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 MENDAVIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461608",
            "telephone_number": "786-531-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 MENDAVIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461608",
            "telephone_number": "786-531-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 SW 12th St",
            "address_purpose": "LOCATION",
            "city": "West Miami",
            "state": "FL",
            "postal_code": "331445160",
            "country_code": "US",
            "telephone_number": "786-531-8841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERNYSHEVA",
        "first_name": "OLGA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.