Active NPI
Susan Lee Pike, PHD CCC SLP
- Speech-Language Pathologist
- Mount Kisco, NY
National Provider Identifier
1689216145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002407-1
- Practice address
- 91 Smith Ave
Mount Kisco, NY 10549-2810 - Phone
- (914) 242-5476
- Fax
- (914) 242-5476
- NPI assigned
- Oct 16, 2019
- 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 | 002407-1 | NY | Primary |
Addresses
Primary practice location
91 Smith Ave
Mount Kisco, NY 10549-2810
Mailing address
91 Smith Ave
Mount Kisco, NY 10549-2810
Phone (914) 242-5476
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002407-1 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1689216145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 SMITH AVE",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492810",
"telephone_number": "914-242-5476",
"fax_number": "914-242-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 SMITH AVE",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492810",
"telephone_number": "914-242-5476",
"fax_number": "914-242-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE",
"first_name": "SUSAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "002407-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.