Individual provider Active NPI

Christine Ulicki, SLP

  • Speech-Language Pathologist
  • Cheshire, CT
National Provider Identifier
1982210290
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
002162 Issued in CT
Practice address
140 Cook Hill Rd
Cheshire, CT 06410-3736
Phone
(203) 272-3547
NPI assigned
Sep 22, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 002162 CT Primary

Addresses

Primary practice location

140 Cook Hill Rd
Cheshire, CT 06410-3736

Mailing address

140 Cook Hill Rd
Cheshire, CT 06410-3736
Phone (203) 272-3547

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jgreene@elimpark.org Other

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

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1982210290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COOK HILL RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103736",
            "telephone_number": "203-272-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COOK HILL RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103736",
            "telephone_number": "203-272-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULICKI",
        "first_name": "CHRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "002162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jgreene@elimpark.org",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "140 Cook Hill Rd",
            "city": "Cheshire",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064103736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.