Judy Stachowski

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003805-1 Issued in NY

Practice address

590 Fishers Station Drive
Victor, NY 14564-3057

Phone

(585) 924-7207

Fax

(585) 924-7049

NPI assigned

Jul 19, 2006

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881613826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FISHERS STATION DRIVE",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145643057",
            "telephone_number": "585-924-7207",
            "fax_number": "585-924-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FISHERS STATION DRIVE",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145643057",
            "telephone_number": "585-924-7207",
            "fax_number": "585-924-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHOWSKI",
        "first_name": "JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003805-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355344",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11477882",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Leon Soltys, D.D.S.
• Jaime A Sonnleitner, SP. ED. TEACHER
• Luke James Sparaccio, DC
• Darcy Louise Spinello, M.S., ED.
• Michael Eugune Spoon, D.D.S.
• Amy Staples, LMHC
• Christine Stephanie Stasiw
• Kathleen Steele, R.N.
• Lynn Marie Steenwerth
• Kelly Marie Steiger, RN

• Speech-Language Pathologist in Victor, NY
• Providers in Victor, 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 Jul 8, 2007; 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.