Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023120730 Individual Practitioner Female Practitioner

Michelle K Sullivan , MS CCC-SLP

Speech-Language Pathologist • Jasper, NY

Professional Overview & Biography Verified Profile Summary

Michelle Sullivan, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jasper, NY. Practice services are available at 3769 NY-417 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3769 Ny-417

Jasper, NY 14855

Telephone 6077923675
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jasper, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Jasper, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 012816

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License FL SA 8194

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8911096 00 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Barbara Leach , RN

Registered Nurse - School

NPI 1669741161

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2016

Registered at 3769 NY-417, JASPER, NY 14855 (Tel: 6077923675)

📍
Updated Business Mailing Address March 24, 2016

Registered at 347 S DIVISION ST, HORNELL, NY 148432135 (Tel: 6076540062)

👤
Provider Name / Credentials Updated March 24, 2016

Recorded as MICHELLE SULLIVAN, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Speech-Language Pathologist (License #012816 in NY)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023120730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: March 24, 2016
Sole Proprietor: No

Mailing Address

347 S Division St

Hornell, NY 148432135

Phone: 6076540062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.