Active NPI
Stavroula Ioannides, M.A. CCC-SLP
- Speech-Language Pathologist
- Manhasset, NY
National Provider Identifier
1659606937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019572
- Practice address
- 1 Rugby Rd
Manhasset, NY 11030-2520 - Phone
- (347) 743-5033
- NPI assigned
- Oct 5, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 019572 | NY | Primary |
Addresses
Primary practice location
1 Rugby Rd
Manhasset, NY 11030-2520
Mailing address
1 Rugby Rd
Manhasset, NY 11030-2520
Phone (347) 743-5033
Other names 1
- Miss Stavroula Boundouris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101027000136 | NY | Practitioner - Qualified Speech Language Pathologist | 7012101736 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019572 | NY | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1659606937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RUGBY RD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110302520",
"telephone_number": "347-743-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RUGBY RD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110302520",
"telephone_number": "347-743-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IOANNIDES",
"first_name": "STAVROULA",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STAVROULA",
"last_name": "BOUNDOURIS",
"prefix": "MISS",
"credential": "M.A. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manhasset, NY
- Inpatient Medicine Specialists PC
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- Internal Medicine Specialist of New York P.C
- Interventional Physical Medicine and Rehab of New York, PLLC
- Marina Ionescu, MD
- Sarah Iqbal, PHARMACY TECHNICAN
- Salman Irfanullah
- Jorge Jean Pierre Irias Banegas, MD
- Jillian Irwin, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.