Elaine Tess Stathopoulos, PHD CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0069451 Issued in NY

Practice address

52 Biomedical Education Building
Buffalo, NY 14214-8016

Phone

(716) 829-3980

Fax

(716) 829-3974

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679611370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BIOMEDICAL EDUCATION BUILDING",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148016",
            "telephone_number": "716-829-3980",
            "fax_number": "716-829-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BIOMEDICAL EDUCATION BUILDING",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148016",
            "telephone_number": "716-829-3980",
            "fax_number": "716-829-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHOPOULOS",
        "first_name": "ELAINE",
        "middle_name": "TESS",
        "credential": "PHD CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0069451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA GROUP",
            "identifier": "00011240404",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC CB ADV SB",
            "identifier": "000640015003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDPENDENT HEALTH GROUP",
            "identifier": "9210117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of New York
• State of New York (State University of New York at Buffalo)
• State of New York Comptrollers Office
• State University of New York at Buffalo
• State University of New York at Buffalo
• Karen Ann Stawiasz, N.P.
• Kristin Staychock
• Caren Stead
• Kimberly A Steck, NP
• Nancy Austin Stecker, PHD CCA

• Speech-Language Pathologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Speech-Language Pathologist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.