Marianne K. Ansel Speech Pathology PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

006931-1 Issued in NY

Legal business name

MARIANNE K. ANSEL SPEECH PATHOLOGY PC

Doing business as

MJM Speech Therapy Services

Practice address

6 Jefferson CT
Stony Point, NY 10980-1000

Phone

(914) 661-9316

Fax

(845) 429-7204

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Marianne Klotz Ansel, MA, CCC/SLPNPI 1417342619

Title

Speech-Language Pathologist

Phone

(914) 661-9316

Specialties & licenses 1

Addresses

Other names 1

• MJM Speech Therapy Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marianne Klotz Ansel, MA, CCC/SLP

  • Speech-Language Pathologist
  • Stony Point, NY
  • NPI 1417342619
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1710139886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109230243",
            "telephone_number": "914-661-9316",
            "fax_number": "845-429-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JEFFERSON CT",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109801000",
            "telephone_number": "914-661-9316",
            "fax_number": "845-429-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE K. ANSEL SPEECH PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "ANSEL",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "KLOTZ",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "914-661-9316",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "006931-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJM Speech Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deirdre Ellen Lisewski, COTA
• Tara Lisewski
• Cherryl Plaza Logan, PT
• James D Lupi, D.C.
• Hailey N Mancuso
• Joanne Ryan Martin, NP
• Kimiyo Matthews
• Paula Maunsell, MFT-I
• Debbie A McShane, RPH
• Michael Ryan McWilliams

• Early Intervention Provider Agency in Stony Point, NY
• Providers in Stony Point, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.