Organization Active NPI

Speech Language Pathology, P.C.

  • Speech-Language Pathologist
  • Valhalla, NY
National Provider Identifier
1073825790
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH LANGUAGE PATHOLOGY, P.C.
Practice address
30 Plaza W
New York Medical College
Valhalla, NY 10595
Phone
(914) 594-4912
Fax
(914) 594-4853
NPI assigned
Jul 10, 2010
Last updated
Jul 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Dr. Ben Colbert Watson, PH.D., CCC-SLP
Title
Director
Phone
(914) 594-4821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

30 Plaza W
New York Medical College
Valhalla, NY 10595

Mailing address

30 Plaza W
New York Medical College
Valhalla, NY 10595
Phone (914) 594-4912

National Provider Directory

National Provider Directory

Locations

30 Plaza W
Valhalla, NY 10595
Phone (914) 594-4912

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1073825790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PLAZA W",
            "address_2": "NEW YORK MEDICAL COLLEGE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-594-4912",
            "fax_number": "914-594-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PLAZA W",
            "address_2": "NEW YORK MEDICAL COLLEGE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-594-4912",
            "fax_number": "914-594-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "COLBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-594-4821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.