Interactive Speech Services P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

020310 Issued in NY

Legal business name

INTERACTIVE SPEECH SERVICES P.C.

Practice address

865 Glenridge Ave
Valley Stream, NY 11581-3009

Phone

(646) 229-1288

NPI assigned

Feb 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shoshana Reich, MS CCC SLP

Title

Speech Language Pathologist

Phone

(646) 229-1288

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1003354739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 GLENRIDGE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 GLENRIDGE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813009",
            "telephone_number": "646-229-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE SPEECH SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "646-229-1288",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "020310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Valley Stream, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.