Individual provider Active NPI

Sabrina Belle Ballou, MS-CCC SLP

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1710679592
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146016751 Issued in IL
Practice address
1101 Iroquois Ave Apt 2332
Naperville, IL 60563-8328
Phone
(732) 216-7354
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 146016751 IL Primary

Addresses

Primary practice location

1101 Iroquois Ave Apt 2332
Naperville, IL 60563-8328

Mailing address

1101 Iroquois Ave Apt 2332
Naperville, IL 60563-8328
Phone (732) 216-7354

Other names 1

  • Sabrina Belle Brucato Former name

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

State licenses

LicenseStateTypeSpecialty
146016751ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1710679592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 IROQUOIS AVE APT 2332",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638328",
            "telephone_number": "732-216-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 IROQUOIS AVE APT 2332",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638328",
            "telephone_number": "732-216-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOU",
        "first_name": "SABRINA",
        "middle_name": "BELLE",
        "credential": "MS-CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146016751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "BRUCATO",
            "middle_name": "BELLE",
            "credential": "MS-CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.