Active NPI
Karin Plett Demeo, MA, CCC.SLP
- Speech-Language Pathologist
- Commack, NY
National Provider Identifier
1114068103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012367
- Practice address
- 145 Commack Rd
Commack, NY 11725-3438 - Phone
- (631) 499-5360
- Fax
- (631) 499-5568
- NPI assigned
- Feb 11, 2007
- 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 | 012367 | NY | Primary |
Addresses
Primary practice location
145 Commack Rd
Commack, NY 11725-3438
Mailing address
12 Crandon St
Melville, NY 11747-1253
Phone (631) 367-3648
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012367 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commack Speech and Language | Past | Accepting new patients | |
| Commack Speech & Language Disorders, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Commack, NY
- NPI 1770727380
-
- Early Intervention Provider Agency
- Islip, NY
- NPI 1760792592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1114068103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CRANDON ST",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471253",
"telephone_number": "631-367-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253438",
"telephone_number": "631-499-5360",
"fax_number": "631-499-5568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMEO",
"first_name": "KARIN",
"middle_name": "PLETT",
"name_prefix": "Mrs.",
"credential": "MA, CCC.SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-11",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
- Ashley Delano, MS
- Deleterious Butler and Associates Care Health Consulting LLC
- Gerylyn Demarino, MA SPECIAL EDUCATION
- Denise Marie Demattia, LMHC
- Demeetrious Butler and Associates Care Health Consulting LLC
- Cindy Demetriou
- Megan Lynn Dempsey, MSSPED
- Kristen Demundo, PHARM D
- Danielle Denenberg, LMHC
- Jennifer Marie Dennehy, APN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.