Active NPI
Beth W Conley, M.S. CCC-SLP
- Speech-Language Pathologist
- Norwich, CT
National Provider Identifier
1649299082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002505
- Practice address
- 111 Salem Tpke
Norwich, CT 06360-6459 - Phone
- (860) 823-6317
- Fax
- (860) 823-6540
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002505 | CT | Primary |
Addresses
Primary practice location
111 Salem Tpke
Norwich, CT 06360-6459
Mailing address
4 Teddy LN
Norwich, CT 06360-6424
Phone (860) 889-8331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Whitney Ave
Hamden, CT 06517-2451
Phone (203) 208-6815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2505 | CT | MD | Social Worker |
| 002505 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Senior Living LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Reliant Senior Living LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5800 Granite Pkwy
Ste 325
Plano, TX 75024
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 Living Rehab
- Physical Therapist
- Hamden, CT
- NPI 1427930908
Speech-Language Pathologist
-
dba Living Rehab
- Physical Therapist
- Hopedale, MA
- NPI 1871457994
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649299082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 TEDDY LN",
"city": "NORWICH",
"state": "CT",
"postal_code": "063606424",
"telephone_number": "860-889-8331",
"fax_number": "860-823-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SALEM TPKE",
"city": "NORWICH",
"state": "CT",
"postal_code": "063606459",
"telephone_number": "860-823-6317",
"fax_number": "860-823-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "BETH",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "002505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
- Mary Ellen Comolli, APRN, CRNA
- Comprehensive Psychiatric Care PC
- Concentra Health Services, Inc. (Concentra Medical Center)
- Anthony D Congiusta, MD, DDS
- Emily Conine, DPT
- Daniel Robert Connaughty, D.C.
- Connecticut CVS Pharmacy LLC (CVS Pharmacy# 01027)
- Connecticut Neuropsychological Associates, LLC (Clarus Health Alliance)
- Connecticut Oral Facial & Cosmetic Surgery PLLC
- Connecticut Surgical Arts, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.