Sachielle Samedi, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6827 Issued in MA

Practice address

1902 Quail Run Rd NE
Albuquerque, NM 87122-1170

Phone

(617) 447-1217

NPI assigned

Sep 3, 2008

Last updated

Oct 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1972751030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 QUAIL RUN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221170",
            "telephone_number": "617-447-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 QUAIL RUN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221170",
            "telephone_number": "617-447-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMEDI",
        "first_name": "SACHIELLE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGAUGE PATH PROFESSIONAL LICENSURE",
            "identifier": "6827",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE LICENSURE",
            "identifier": "4905",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CCC",
            "identifier": "12026438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Katherine Samaras, PH.D.
• Samardzija Psychological Center
• Samaritan Counseling Center of Albuquerque
• Chitra Neela Sambasivan, MD
• Steven Sambrano, PA-C
• Von Graeger Samedi, M.D., PH.D.
• Samir K Kassicieh, DO, PC
• Madison Samis
• Megan Brooke Sammeth, BSN RN
• Sarah Sammon

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.