Individual provider Active NPI

Emily Clare Walsh, CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1871051805
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1201 66TH St
Brooklyn, NY 11219-5914
Phone
(718) 259-4389
NPI assigned
Mar 8, 2019
Last updated
Nov 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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 Primary

Addresses

Primary practice location

1201 66TH St
Brooklyn, NY 11219-5914

Mailing address

1201 66TH St
Brooklyn, NY 11219-5914
Phone (908) 907-8903

Other practice location 1

1825 Bath Ave
Brooklyn, NY 11214-4613
Phone (718) 238-4637

Other identifiers 2

IdentifierTypeStateIssuer
030317OtherNYSLP LICENSE/REGISTRATION
14340446OtherASHA CCC-SLP

Other names 1

  • Emme Clare Walsh Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1871051805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 66TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195914",
            "telephone_number": "908-907-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 66TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195914",
            "telephone_number": "718-259-4389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Bath Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112144613",
            "country_code": "US",
            "telephone_number": "718-238-4637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "EMILY",
        "middle_name": "CLARE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE/REGISTRATION",
            "identifier": "030317",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CCC-SLP",
            "identifier": "14340446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMME",
            "last_name": "WALSH",
            "middle_name": "CLARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.