Active NPI
Dorine Yvonne Severino, CCC-SLP
- Speech-Language Pathologist
- Endwell, NY
National Provider Identifier
1932416153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011975-1
- Practice address
- 2724 Hall St
Endwell, NY 13760-3228 - Phone
- (607) 748-4502
- NPI assigned
- Sep 9, 2010
- 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 | 011975-1 | NY | Primary |
Addresses
Primary practice location
2724 Hall St
Endwell, NY 13760-3228
Mailing address
2724 Hall St
Endwell, NY 13760-3228
Phone (607) 748-4502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12055553 | Other | ASHA | |
| 6606407 | Other | NY | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011975-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1932416153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 HALL ST",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137603228",
"telephone_number": "607-748-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2724 HALL ST",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137603228",
"telephone_number": "607-748-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERINO",
"first_name": "DORINE",
"middle_name": "YVONNE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011975-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12055553",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6606407",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Endwell, NY
- Ronald L. Kissick, CSW & Patricia a. Kissick, CSW, PLLC
- Emily Michelle Salvemini, LMSW
- Lawrence Gardner Sanford
- Jerome R Schmidt, DDS
- Megan Melissa Serfass, PHARM.D
- Gabriella Angela Sheffer, PHARMD, RPH
- Melissa Erin Skiadas, FNP
- Tessa Cotroneo Smith
- Southern Tier Dermatology & Aesthetics
- Andrea Stenta, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.