Individual provider Active NPI

Evelyn Panagakos Lamia, M.S.,CCC-L/SLP

  • Speech-Language Pathologist
  • Seaford, NY
National Provider Identifier
1083847230
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000857-1 Issued in NY
Practice address
3931 Mill Rd
Seaford, NY 11783-1841
Phone
(516) 797-0389
Fax
(516) 797-0389
NPI assigned
Sep 3, 2009
Last updated
Sep 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 000857-1 NY Primary

Addresses

Primary practice location

3931 Mill Rd
Seaford, NY 11783-1841

Mailing address

3931 Mill Rd
Seaford, NY 11783-1841
Phone (516) 797-0389

Other identifiers 2

IdentifierTypeStateIssuer
000857-1OtherNYNYS LICENSE TO PRACTICE SPEECH LANGUAGE PATHOLOGY
00404111OtherAMERICAN SPEECH HEARING LANGUAGE ASSOCIATION (ASHA)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000857-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1083847230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 MILL RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831841",
            "telephone_number": "516-797-0389",
            "fax_number": "516-797-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 MILL RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831841",
            "telephone_number": "516-797-0389",
            "fax_number": "516-797-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGAKOS LAMIA",
        "first_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC-L/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000857-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE TO PRACTICE SPEECH LANGUAGE PATHOLOGY",
            "identifier": "000857-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH HEARING LANGUAGE ASSOCIATION (ASHA)",
            "identifier": "00404111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.