Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942635768 Individual Practitioner Female Practitioner

Diana Rivas , MS, CCC-SLP

Speech-Language Pathologist • Roosevelt, NY

Professional Overview & Biography Verified Profile Summary

Diana Rivas, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Roosevelt, NY. Practice services are available at 380 WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

380 Washington Ave

Roosevelt, NY 115751845

Telephone 5163782000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Roosevelt, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Roosevelt, 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 023928-1

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
03875312 (NY)

Secondary Practice Locations

159 W 127th St

New York, NY 100273723

Phone: 2127527575

Practice Associates & Co-Workers

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

40 Associated Practitioners
Andrew Cho

Physical Therapy Assistant

NPI 1003161878
NPI 1023445764
Dr. Erin Mcguire , OTD, OTR, L

Occupational Therapist

NPI 1023893559

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Elizabeth Alfano , MA, CCC-SLP

Speech-Language Pathologist

NPI 1033371448

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1043344518
NPI 1043473150

Master of Arts, CCCA

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 14, 2019

Registered at 380 WASHINGTON AVE, ROOSEVELT, NY 115751845 (Tel: 5163782000)

📍
Updated Business Mailing Address August 14, 2019

Registered at 136 PLAINVIEW RD, WOODBURY, NY 117972805

👤
Provider Name / Credentials Updated August 14, 2019

Recorded as DIANA RIVAS, M.S., CCC-SLP

NPI Profile Active June 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2015

Registered at 159 W 127TH ST, NEW YORK, NY 100273723 (Tel: 2127527575)

📍
Updated Business Mailing Address June 20, 2015

Registered at 159 W 127TH ST, NEW YORK, NY 100273723

👤
Provider Name / Credentials Updated June 20, 2015

Recorded as DIANA GUTIERREZ, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2015

Speech-Language Pathologist (License #023928-1 in NY)

🟢
Initial NPI Registration & Enumeration September 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942635768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2013
Last Update: August 14, 2019
Sole Proprietor: No

Mailing Address

136 Plainview Rd

Woodbury, NY 117972805

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.