Individual provider Active NPI

Mary Jane Gilbride, SLP

  • Speech-Language Pathologist
  • Orchard Park, NY
National Provider Identifier
1689850919
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016985 Issued in NY
Practice address
6167 W Quaker St
Orchard Park, NY 14127-2640
Phone
(716) 662-4800
Fax
(716) 662-5700
NPI assigned
Jan 16, 2008
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 016985 NY Primary

Addresses

Primary practice location

6167 W Quaker St
Orchard Park, NY 14127-2640

Mailing address

2439 Sandrock Rd
Eden, NY 14057-9574
Phone (716) 337-3982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000568 NY Practitioner - Qualified Speech Language Pathologist 6103004148 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016985NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jun 23, 2025 Accepting new patients
Therapeutic Link for Children, PLLC Past Accepting new patients
Therapeutic Link for Children Past Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

106 Pine St
Hamburg, NY 14075
Phone (716) 646-0048

1200 East and West Rd
West Seneca, NY 14224
Phone (716) 517-3475

1200 East and West Rd
Bldg 16
West Seneca, NY 14224
Phone (716) 517-2000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1689850919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 SANDROCK RD",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579574",
            "telephone_number": "716-337-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 W QUAKER ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272640",
            "telephone_number": "716-662-4800",
            "fax_number": "716-662-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBRIDE",
        "first_name": "MARY JANE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.

Verify at the official NPI Registry.