Individual provider Active NPI

Walter Dorritie, MS, CCC-SLP

  • Speech-Language Pathologist
  • Yonkers, NY
National Provider Identifier
1790174605
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114527 Issued in TX
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SLP10227NYMDSpeech-Language Pathologist
114527TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maciel, LLC Speech-Language Pathologist CurrentSince Aug 1, 2021 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.

Verify at the official NPI Registry.