Mira Keller Weinfeld, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019547 Issued in NY

Practice address

98 Mercer Ave
Hartsdale, NY 10530-2604

Phone

(914) 946-6737

NPI assigned

Aug 17, 2010

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

• Mira Keller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1790090546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MERCER AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302604",
            "telephone_number": "914-946-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MERCER AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302604",
            "telephone_number": "914-946-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER WEINFELD",
        "first_name": "MIRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRA",
            "last_name": "KELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth H Katz, M.D.
• Suzanne N Katz, LCSW
• Saurabh Kaushik, M.D.
• Lacey Kehlenbeck
• Alyssa Marie Kell, DPT
• Lauren Kelly
• Emily Kelvas
• Sara F Kenamore, M.D.
• Leah Kesselman, PSYD
• Diane Marie Khorassani, LMSW

• Speech-Language Pathologist in Hartsdale, NY
• Providers in Hartsdale, 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 Aug 17, 2010; 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.