Individual provider Active NPI

Danielle Rose Schwartz

  • Speech-Language Pathologist
  • Woodbridge, CT
National Provider Identifier
1598518490
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2301-0 Issued in HI
Practice address
133 Rimmon Rd
Woodbridge, CT 06525-1913
Phone
(203) 907-7566
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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 SP-2301-0 HI Primary

Addresses

Primary practice location

133 Rimmon Rd
Woodbridge, CT 06525-1913

Mailing address

133 Rimmon Rd
Woodbridge, CT 06525-1913
Phone (203) 907-7566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240906000918 CT Practitioner - Qualified Speech Language Pathologist 0941740872 Reassigns benefits to 1 organization
I20241004002799 MA Practitioner - Qualified Speech Language Pathologist 0941740872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supercalifragilistic Speech Language Therapy IncGroup PAC ID 8123380474, 3 clinicians

Practice addresses (Care Compare)

247 Washington Ave
Winthrop, MA 02152-1343
Phone (617) 909-0817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7664CTMDPharmacist
SP-2301-0HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supercalifragilistic Speech Language Therapy Inc. Speech-Language Pathologist CurrentSince Jun 30, 2024 Accepting new patients

Locations

1204 Main St
Branford, CT 06405
Phone (203) 518-8447

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1598518490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 RIMMON RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251913",
            "telephone_number": "203-907-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 RIMMON RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251913",
            "telephone_number": "203-907-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "DANIELLE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-2301-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.