Simone Althea Ercoline, M.S. ED CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018787-1 Issued in NY

Practice address

Valley Central School District
944 State Route 17K
Montgomery, NY 12549

Phone

(845) 457-2400

NPI assigned

Dec 19, 2008

Last updated

May 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Simone Althea Scanlon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Valley Central School District

  • Local Education Agency (LEA)
  • Montgomery, NY
  • NPI 1770632838
  NPD (past)

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1710123898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 THIRD ST",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125894425",
            "telephone_number": "914-388-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VALLEY CENTRAL SCHOOL DISTRICT",
            "address_2": "944 STATE ROUTE 17K",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "12549",
            "telephone_number": "845-457-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCOLINE",
        "first_name": "SIMONE",
        "middle_name": "ALTHEA",
        "name_prefix": "Mrs.",
        "credential": "M.S. ED CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018787-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "SCANLON",
            "middle_name": "ALTHEA",
            "prefix": "MISS",
            "credential": "M.S. ED CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Montgomery, NY
• Providers in Montgomery, 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 May 22, 2018; 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.