NPIMap

Organization Active NPI

Elmhurst Speech Language Pathology PLLC

  • Speech-Language Pathologist
  • Elmhurst, NY
National Provider Identifier
1013770403
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ELMHURST SPEECH LANGUAGE PATHOLOGY PLLC
Practice address
4606 88TH St Apt 6B
Elmhurst, NY 11373-3783
Phone
(646) 363-6483
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Caritta MaiNPI 1326587874
Title
Owner
Phone
(646) 363-6483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4606 88TH St Apt 6B
Elmhurst, NY 11373-3783

Mailing address

4606 88TH St Apt 6B
Elmhurst, NY 11373-3783
Phone (646) 363-6483

Other names 1

  • TIGER SPEECH THERAPY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1013770403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 88TH ST APT 6B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733783",
            "telephone_number": "646-363-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 88TH ST APT 6B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733783",
            "telephone_number": "646-363-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST SPEECH LANGUAGE PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "CARITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-363-6483"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIGER SPEECH THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.