STEPHANIE NICOLE FAHEY


Address: 5220 S 6th Street Rd, Suite 1700 (noll Medical Pavillion, The Autism Clinic), Springfield, IL 62703-5735
Phone: 2175258332

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146.011697 IL Speech, Language and Hearing Service Providers

Office Location

Street Address 5220 S 6TH STREET RD
SUITE 1700 (NOLL MEDICAL PAVILLION, THE AUTISM CLINIC)
City SPRINGFIELD
State IL
Zip Code 62703-5735

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

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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
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Competitor

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City SPRINGFIELD
Zip Code 62703

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Dataset Information

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.

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