Individual provider Active NPI

Sydney Janelle Perricone, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Allen, TX
National Provider Identifier
1740628684
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105927 Issued in TX
Practice address
900 Junction Dr
Allen, TX 75013-5290
Phone
(469) 675-3153
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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 105927 TX Primary

Addresses

Primary practice location

900 Junction Dr
Allen, TX 75013-5290

Mailing address

900 Junction Dr
Allen, TX 75013-5290
Phone (469) 675-3153

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

State licenses

LicenseStateTypeSpecialty
105927TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cutting Edge Pediatric Therapy Mansfield Speech-Language Pathologist Past Accepting new patients
Cutting Edge Pediatric Therapy Speech-Language Pathologist PastSince Aug 9, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1740628684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JUNCTION DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135290",
            "telephone_number": "469-675-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JUNCTION DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135290",
            "telephone_number": "469-675-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRICONE",
        "first_name": "SYDNEY",
        "middle_name": "JANELLE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.