Organization Active NPI

H.O.P.E. Therapeutics Speech Language Pathology, P.C.

  • Speech-Language Pathologist
  • Blue Point, NY
National Provider Identifier
1033615117
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007450-1 Issued in NY
Legal business name
H.O.P.E. THERAPEUTICS SPEECH LANGUAGE PATHOLOGY, P.C.
Practice address
20 Paumanake Rd
Blue Point, NY 11715-1809
Phone
(631) 363-6679
Fax
(631) 363-3151
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Patricia L Thyberg, MA/LSPNPI 1609914175
Title
Ceo
Phone
(631) 363-3151

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 007450-1 NY Primary

Addresses

Primary practice location

20 Paumanake Rd
Blue Point, NY 11715-1809

Mailing address

20 Paumanake Rd
Blue Point, NY 11715-1809
Phone (631) 363-6679

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": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1033615117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PAUMANAKE RD",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151809",
            "telephone_number": "631-363-6679",
            "fax_number": "631-363-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PAUMANAKE RD",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151809",
            "telephone_number": "631-363-6679",
            "fax_number": "631-363-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.O.P.E. THERAPEUTICS SPEECH LANGUAGE PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "THYBERG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-363-3151",
        "authorized_official_credential": "MA/LSP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007450-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.