Individual provider Active NPI

Orly Berkoff, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Cos Cob, CT
National Provider Identifier
1982307146
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7010 Issued in CT
Practice address
132 E Putnam Ave Ste 14
Cos Cob, CT 06807-2753
Phone
(203) 990-3392
Fax
(203) 990-3393
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 7010 CT Primary

Addresses

Primary practice location

132 E Putnam Ave Ste 14
Cos Cob, CT 06807-2753

Mailing address

109 Sawmill Rd
Stamford, CT 06903-3109
Phone (203) 667-2002

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 Science

State licenses

LicenseStateTypeSpecialty
7010CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlin M. Ingraham, M.S., CCC-SLP Speech-Language Pathologist CurrentSince Mar 26, 2023 Accepting new patients

Locations

132 E Putnam Ave
Ste 14
Cos Cob, CT 06807
Phone (203) 512-4149

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1982307146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SAWMILL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033109",
            "telephone_number": "203-667-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E PUTNAM AVE STE 14",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072753",
            "telephone_number": "203-990-3392",
            "fax_number": "203-990-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOFF",
        "first_name": "ORLY",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "7010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.