Individual provider Active NPI

Anna Daria Berardo, MA, CCC-SLP

  • Speech-Language Pathologist
  • New Fairfield, CT
National Provider Identifier
1841515533
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007906-1 Issued in NY
Practice address
1 High Acre Dr
New Fairfield, CT 06812-3900
Phone
(203) 746-8691
NPI assigned
Apr 6, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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 007906-1 NY Primary

Addresses

Primary practice location

1 High Acre Dr
New Fairfield, CT 06812-3900

Mailing address

1 High Acre Dr
New Fairfield, CT 06812-3900
Phone (203) 746-8691

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 Arts

State licenses

LicenseStateTypeSpecialty
007906-1NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1841515533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGH ACRE DR",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123900",
            "telephone_number": "203-746-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH ACRE DR",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123900",
            "telephone_number": "203-746-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDO",
        "first_name": "ANNA",
        "middle_name": "DARIA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007906-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.