Individual provider Active NPI

Darlene McRae

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1841438710
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012991-1 Issued in NY
Practice address
853C Underhill Ave
Bronx, NY 10473-2754
Phone
(917) 674-9448
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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 012991-1 NY Primary

Addresses

Primary practice location

853C Underhill Ave
Bronx, NY 10473-2754

Mailing address

853C Underhill Ave
Bronx, NY 10473-2754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130402000471 NY Practitioner - Qualified Speech Language Pathologist 3072758655 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012991-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Jul 15, 2018 Accepting new patients
Lifespire, Inc. Current Accepting new patients
Lifespire, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Epic Medical Services PC CurrentSince Apr 19, 2017 Accepting new patients
Global Speech Language Pathology PC Speech-Language Pathologist CurrentSince Mar 1, 2016 Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700

1979 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 327-4681

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

Organizations & group practices 5

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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1841438710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853C UNDERHILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853C UNDERHILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732754",
            "telephone_number": "917-674-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "DARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012991-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.