Active NPI
Tammy J Beller
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1740589571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009808-1
- Practice address
- 690 St Paul Street RM 321
Rochester Preschool Parent Program
Rochester, NY 14605 - Phone
- (585) 328-3360
- Fax
- (585) 324-2705
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009808-1 | Primary |
Addresses
Primary practice location
690 St Paul Street RM 321
Rochester Preschool Parent Program
Rochester, NY 14605
Mailing address
690 St Paul Street RM 321
Rochester Preschool Parent Program
Rochester, NY 14605
Phone (585) 328-3360
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1740589571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 ST PAUL STREET RM 321",
"address_2": "ROCHESTER PRESCHOOL PARENT PROGRAM",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14605",
"telephone_number": "585-328-3360",
"fax_number": "585-324-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 ST PAUL STREET RM 321",
"address_2": "ROCHESTER PRESCHOOL PARENT PROGRAM",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14605",
"telephone_number": "585-328-3360",
"fax_number": "585-324-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLER",
"first_name": "TAMMY",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "009808-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.