Active NPI
Doreen Regina Forde, MA CCC
- Speech-Language Pathologist
- Jamaica, NY
National Provider Identifier
1932340734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004355-1
- Practice address
- 17857 Leslie Rd
Jamaica, NY 11434-2746 - Phone
- (718) 527-1254
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004355-1 | NY | Primary |
Addresses
Primary practice location
17857 Leslie Rd
Jamaica, NY 11434-2746
Mailing address
17857 Leslie Rd
Jamaica, NY 11434-2746
Phone (718) 527-1254
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004355-1 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1932340734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17857 LESLIE RD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114342746",
"telephone_number": "718-527-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17857 LESLIE RD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114342746",
"telephone_number": "718-527-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORDE",
"first_name": "DOREEN",
"middle_name": "REGINA",
"name_prefix": "Ms.",
"credential": "MA CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "004355-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.