Stacy Shapiro, SLP-CCC, P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

010923-1 Issued in NY

Legal business name

STACY SHAPIRO, SLP-CCC, P.C.

Practice address

103 Deer Valley Dr
Nesconset, NY 11767-1567

Phone

(631) 553-1536

NPI assigned

Mar 3, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Stacy Beth Shapiro, SLP

Title

Speech-Language Pathologist

Phone

(631) 553-1536

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1003356486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DEER VALLEY DR",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671567",
            "telephone_number": "631-553-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DEER VALLEY DR",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671567",
            "telephone_number": "631-553-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY SHAPIRO, SLP-CCC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "631-553-1536",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "010923-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.