Individual provider Active NPI

Samantha Sue San Felippo, M.S., CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Yonkers, NY
National Provider Identifier
1609117423
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022917 Issued in NY
Practice address
1154 Saw Mill River Rd
Yonkers, NY 10710-3210
Phone
(914) 318-8779
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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 022917 NY Primary

Addresses

Primary practice location

1154 Saw Mill River Rd
Yonkers, NY 10710-3210

Mailing address

500 Tuckahoe Rd
Apartment 5B
Yonkers, NY 10710-5717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303001489 NY Practitioner - Qualified Speech Language Pathologist 0143657163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Jan 30, 2020 Accepting new patients

Locations

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1609117423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TUCKAHOE RD",
            "address_2": "APARTMENT 5B",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 SAW MILL RIVER RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107103210",
            "telephone_number": "914-318-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN FELIPPO",
        "first_name": "SAMANTHA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.