STEPHANIE NICOLE FAHEY (NPI# 1376093740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376093740 |
Entity Type | Individual |
Full Name | STEPHANIE NICOLE FAHEY |
Credential | M.S. CCC-SLP |
Practice Address |
5220 S 6th Street Rd Suite 1700 (noll Medical Pavillion, The Autism Clinic) Springfield IL 62703-5735 |
Practice Telephone | 2175258332 |
Mailing Telephone | 2175258332 |
Enumeration Date | 2016-10-10 |
Last Update Date | 2016-10-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 146.011697 | IL | Speech, Language and Hearing Service Providers |
Street Address |
5220 S 6TH STREET RD SUITE 1700 (NOLL MEDICAL PAVILLION, THE AUTISM CLINIC) |
City | SPRINGFIELD |
State | IL |
Zip Code | 62703-5735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336168269 | Hetal A Shah | Physical Therapist | 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | 2006-07-19 |
1285096560 | Meika Valerio | Behavioral Analyst | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2016-03-24 |
1770941957 | Katherine Docter | Behavioral Analyst | 5220 S 6th Street Rd, Springfield, IL 62703-5735 | 2016-02-03 |
1619332541 | Angela Westwood | Speech-Language Pathologist | 5220 S 6th Street Rd, Ste. 1700, Springfield, IL 62703-5735 | 2015-12-18 |
1962877571 | Anne Marie Wingbermuehle | Behavioral Analyst | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2015-12-08 |
1528432119 | The Hope School Dba The Autism Clinic | Counselor | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2015-11-19 |
1518343722 | Board of Trustees of Southern Illinois University | Clinic/Center | 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | 2015-08-11 |
1457774416 | Brianne Satorius | Counselor | 5220 S 6th Street Rd, Suite 2400, Springfield, IL 62703-5735 | 2014-01-28 |
1114358199 | Jamie Lee Blakeman | Counselor | 5220 S 6th Street Rd, Suite 2400, Springfield, IL 62703-5735 | 2013-12-02 |
1982049508 | The Baby Fold | Foster Care Agency | 5220 S 6th Street Rd, Springfield, IL 62703-5735 | 2013-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
Find all providers in zip 62703 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
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. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
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1023623105 | Heather Dugas | Speech-Language Pathologist | 25190 Blood River Road, Springfield, LA 70462 | 2020-09-15 |
1871107003 | Paige Marie Steer | Speech-Language Pathologist | 531 W Harding Rd, Springfield, OH 45504-1708 | 2020-09-04 |
1578173241 | Kelley Hickman | Speech-Language Pathologist | 897 S 55th Pl, Springfield, OR 97478-6978 | 2020-08-06 |
1639792740 | Lindsay Anne Douglas | Speech-Language Pathologist | 3050 S National Ave Ste 106, Springfield, MO 65804-4242 | 2020-05-22 |
1770106320 | Jeanette Spirides | Speech-Language Pathologist | 7811 Jansen Dr, Springfield, VA 22152-2423 | 2020-05-18 |
1346862505 | Elisabeth Amy Mlawski | Speech-Language Pathologist | 16 Elmwood Rd, Springfield, NJ 07081-2419 | 2020-05-11 |
1720623929 | Amber Dejianne | Speech-Language Pathologist | 100 Stone Hill Rd Apt J2, Springfield, NJ 07081-2126 | 2019-11-12 |
1558902775 | Stephanie L Mcbratney | Speech-Language Pathologist | 3510 E Whitehall Dr, Springfield, MO 65809-2135 | 2019-09-30 |
1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
1164071445 | Desiree Herring | Speech-Language Pathologist | 103 Runnymead Dr, Springfield, TN 37172-5730 | 2019-09-09 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62703 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.