Shanni Geller Berry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

P-0740 Issued in NH

Practice address

169 S River Rd Unit 9
Bedford, NH 03110-6934

Phone

(603) 296-5241

Fax

(603) 606-2443

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shanni Talkovsky Geller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New England Pediatric Services, LLC

  • Psychologist
  • Bedford, NH
  • NPI 1679967004
  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1801379151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W WHEELOCK ST APT J",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551723",
            "telephone_number": "510-685-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 S RIVER RD UNIT 9",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106934",
            "telephone_number": "603-296-5241",
            "fax_number": "603-606-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SHANNI",
        "middle_name": "GELLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "P-0740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14331999",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNI",
            "last_name": "GELLER",
            "middle_name": "TALKOVSKY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eugene Elliot Berg, MD
• Christina Berge, FNP-BC
• Lisa Berge, FNP-BC, PHD
• Lindsay Marie Bergeron, MD
• Noel Berrio, BCBA
• Taylor Michael Berry
• Bethany L Toolin, Ma, Lcmhc
• Shivani Bhatt, PHARM D
• Salva Bilal, MD
• Samantha Anne Bilodeau, APRN

• All providers in Bedford, NH
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.