Active NPI
Walter Dorritie, MS, CCC-SLP
- Speech-Language Pathologist
- Yonkers, NY
National Provider Identifier
1790174605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114527
- Practice address
- 1154 Saw Mill River Rd
Yonkers, NY 10710-3210 - Phone
- (914) 968-4854
- Fax
- (914) 968-4857
- NPI assigned
- Jan 15, 2015
- Last updated
- Jul 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 114527 | TX | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP10227 | NY |
Addresses
Primary practice location
1154 Saw Mill River Rd
Yonkers, NY 10710-3210
Mailing address
17301 Interstate 35 Ste 101
Buda, TX 78610-5250
Phone (512) 461-3617
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP10227 | NY | MD | Speech-Language Pathologist |
| 114527 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maciel, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
17301 S Ih 35
Ste 101
Buda, TX 78610
Phone (512) 994-4115
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1790174605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17301 INTERSTATE 35 STE 101",
"city": "BUDA",
"state": "TX",
"postal_code": "786105250",
"telephone_number": "512-461-3617",
"fax_number": "914-968-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1154 SAW MILL RIVER RD",
"city": "YONKERS",
"state": "NY",
"postal_code": "107103210",
"telephone_number": "914-968-4854",
"fax_number": "914-968-4857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRITIE",
"first_name": "WALTER",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-15",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114527",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "SLP10227",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.