Active NPI
Children'S Speech Improvement
- Early Intervention Provider Agency
- Briarwood, NY
National Provider Identifier
1053689307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 696432
- Legal business name
- CHILDREN'S SPEECH IMPROVEMENT
- Practice address
- 14325 84TH Dr Apt 4K
Briarwood, NY 11435-2250 - Phone
- (347) 569-9914
- NPI assigned
- Dec 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tatyana Shusterman, BS/TSLD
- Title
- Teacher of Speech and Language Dela
- Phone
- (347) 659-9914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 696432 | NY | Primary |
Addresses
Primary practice location
14325 84TH Dr Apt 4K
Briarwood, NY 11435-2250
Mailing address
14325 84TH Dr Apt 4K
Briarwood, NY 11435-2250
Phone (347) 569-9914
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322697600000",
"number": "1053689307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14325 84TH DR APT 4K",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352250",
"telephone_number": "347-569-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14325 84TH DR APT 4K",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352250",
"telephone_number": "347-569-9914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S SPEECH IMPROVEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A",
"authorized_official_last_name": "SHUSTERMAN",
"authorized_official_first_name": "TATYANA",
"authorized_official_title_or_position": "TEACHER OF SPEECH AND LANGUAGE DELA",
"authorized_official_telephone_number": "347-659-9914",
"authorized_official_credential": "BS/TSLD"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "696432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.