Individual provider Active NPI

Courtney Ellen Hallahan, M.S.ED- SLP

  • Speech-Language Pathologist
  • East Greenbush, NY
National Provider Identifier
1912143348
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018524-1 Issued in NY
Practice address
1605 Windsor Xing
East Greenbush, NY 12061-2621
Phone
(315) 212-2939
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 018524-1 NY Primary

Addresses

Primary practice location

1605 Windsor Xing
East Greenbush, NY 12061-2621

Mailing address

1605 Windsor Xing
East Greenbush, NY 12061-2621
Phone (315) 212-2939

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

State licenses

LicenseStateTypeSpecialty
018524-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1912143348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WINDSOR XING",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612621",
            "telephone_number": "315-212-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 WINDSOR XING",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612621",
            "telephone_number": "315-212-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAHAN",
        "first_name": "COURTNEY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "M.S.ED- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018524-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.