Active NPI
Diana R. Deyo, M.S. CCC-SLP
- Speech-Language Pathologist
- Canandaigua, NY
National Provider Identifier
1669624565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018423-1
- Practice address
- 5415 County Road 30
Canandaigua, NY 14424-7964 - Phone
- (585) 394-9510
- Fax
- (585) 394-5326
- NPI assigned
- Oct 22, 2008
- 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 | 018423-1 | NY | Primary |
Addresses
Primary practice location
5415 County Road 30
Canandaigua, NY 14424-7964
Mailing address
66 S Main St
Rushville, NY 14544-9673
Phone (585) 554-5230
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
| License | State | Type | Specialty |
|---|---|---|---|
| 018423-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1669624565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 S MAIN ST",
"city": "RUSHVILLE",
"state": "NY",
"postal_code": "145449673",
"telephone_number": "585-554-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 COUNTY ROAD 30",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144247964",
"telephone_number": "585-394-9510",
"fax_number": "585-394-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEYO",
"first_name": "DIANA",
"middle_name": "R.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018423-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.