Organization Active NPI

Children'S Speech Improvement

  • Early Intervention Provider Agency
  • Briarwood, NY
National Provider Identifier
1053689307
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
696432 Issued in NY
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

Updated by the provider on Dec 1, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.