Samantha Taylor Watts Campolongo, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

032101 Issued in NY

Practice address

4400 Vestal Pkwy E
Binghamton, NY 13902-4400

Phone

(607) 777-2000

NPI assigned

Jul 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Taylor Watts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1093543233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BRINK RD",
            "city": "CANDOR",
            "state": "NY",
            "postal_code": "137432047",
            "telephone_number": "203-917-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 VESTAL PKWY E",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139024400",
            "telephone_number": "607-777-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOLONGO",
        "first_name": "SAMANTHA",
        "middle_name": "TAYLOR WATTS",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WATTS",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Maria Camp, CCC-SLP
• Charles R Campbell, MD
• Lauren Esther Campbell, LMSW
• Marc Campbell, D.O.
• Jennifer Maria Campoli, LMSW
• Thomas Anthony Canale, MSW LCSW
• Michael Cannone, LCSW
• Anthony Cao
• Peter Capone, DMD
• Peter Paul Capone, DDS

• Speech-Language Pathologist in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.