Individual provider Active NPI

Mila Kelmenson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1699917666
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018788 Issued in NY
Practice address
371 89TH St
Brooklyn, NY 11209-5603
Phone
(718) 491-7660
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 018788 NY Primary

Addresses

Primary practice location

371 89TH St
Brooklyn, NY 11209-5603

Mailing address

149 Marine Ave Apt 4D
Brooklyn, NY 11209-7728

Other practice location 1

236 Neptune Ave
Brooklyn, NY 11235-6302
Phone (718) 769-2698

Other practice location 2

149 Marine Ave Apt 4D
Brooklyn, NY 11209-7728
Phone (646) 441-0847

Other practice location 3

371 89th St
Brooklyn, NY 11209-5603
Phone (718) 491-7660

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

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1699917666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MARINE AVE APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 89TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095603",
            "telephone_number": "718-491-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Neptune Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112356302",
            "country_code": "US",
            "telephone_number": "718-769-2698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 Marine Ave Apt 4D",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112097728",
            "country_code": "US",
            "telephone_number": "646-441-0847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 89th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112095603",
            "country_code": "US",
            "telephone_number": "718-491-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELMENSON",
        "first_name": "MILA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.