Individual provider Active NPI

Michelle Catherine Comella, MS, CCC-SLP

  • Speech-Language Pathologist
  • New Windsor, NY
National Provider Identifier
1639710809
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
032431 Issued in NY
Practice address
121 Executive Dr Ste 100
New Windsor, NY 12553-5544
Phone
(845) 303-2408
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 032431 NY Primary
Speech-Language Pathologist 235Z00000X 77735 MA

Addresses

Primary practice location

121 Executive Dr Ste 100
New Windsor, NY 12553-5544

Mailing address

365 Town View Dr
Wappingers Falls, NY 12590-7031
Phone (860) 462-6861

Other practice location 1

1R Newbury St Ste 104
Peabody, MA 01960-3816
Phone (978) 535-3355

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
032431NYMDPhysical Therapist
77735MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1639710809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 TOWN VIEW DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125907031",
            "telephone_number": "860-462-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EXECUTIVE DR STE 100",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535544",
            "telephone_number": "845-303-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1R Newbury St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019603816",
            "country_code": "US",
            "telephone_number": "978-535-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMELLA",
        "first_name": "MICHELLE",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032431",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.