Active NPI
Michelle Nicole Tallini, CF-SLP
- Speech-Language Pathologist
- Lake Grove, NY
National Provider Identifier
1104736735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 865 Hawkins Ave
Lake Grove, NY 11755-3217 - Phone
- (631) 471-1800
- NPI assigned
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NY | Primary |
Addresses
Primary practice location
865 Hawkins Ave
Lake Grove, NY 11755-3217
Mailing address
69 Woodview LN
Centereach, NY 11720-4073
Phone (631) 335-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1104736735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 WOODVIEW LN",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117204073",
"telephone_number": "631-335-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 HAWKINS AVE",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117553217",
"telephone_number": "631-471-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLINI",
"first_name": "MICHELLE",
"middle_name": "NICOLE",
"credential": "CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.