Active NPI
Deborah Krill, MS, CCC-SLP
- Speech-Language Pathologist
- Waterville, NY
National Provider Identifier
1629442140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 008623
- Practice address
- 7896 Shanley Rd Apt 1
Waterville, NY 13480-1325 - Phone
- (518) 925-0466
- NPI assigned
- Nov 20, 2015
- Last updated
- Jul 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 008623 | NY | Primary |
| Early Intervention Provider Agency | 252Y00000X | NU |
Addresses
Primary practice location
7896 Shanley Rd Apt 1
Waterville, NY 13480-1325
Mailing address
7896 Shanley Rd Apt 1
Waterville, NY 13480-1325
Phone (518) 925-0466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008623 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Dimensions in Living Inc | Past | 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.
-
dba Liberty Enterprises
- Multi-Specialty Clinic/Center
- Amsterdam, NY
- NPI 1376902734
-
dba New Dimensions in Health Care
- Multi-Specialty Clinic/Center
- Amsterdam, NY
- NPI 1982674917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1629442140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7896 SHANLEY RD APT 1",
"city": "WATERVILLE",
"state": "NY",
"postal_code": "134801325",
"telephone_number": "518-925-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7896 SHANLEY RD APT 1",
"city": "WATERVILLE",
"state": "NY",
"postal_code": "134801325",
"telephone_number": "518-925-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRILL",
"first_name": "DEBORAH",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "008623",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.