Michelle Rose Flood

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029990 Issued in NY

Practice address

500 Western Hwy
Blauvelt, NY 10913-2022

Phone

(845) 359-3400

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1851932602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 213TH ST FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612053",
            "telephone_number": "845-825-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTERN HWY",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109132022",
            "telephone_number": "845-359-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "MICHELLE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "P102460",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Amy Faccioli Licari, LCSW
• Rebecca Finch, M.A. , CCC- SLP
• Sheri Fitzpatrick, RN, IBCLC
• Five Physical Therapy P.C.
• Lisa Fletcher, R.N.
• Jason Mitchell Fox, LMSW
• Ann M Genovesi, RN
• Anatoli Godfrey
• Dara Goldrick
• Lorraine Guarino-Minassian, PT, CSCS

• Speech-Language Pathologist in Blauvelt, NY
• Providers in Blauvelt, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.