Organization Active NPI

The Speech Language Place, SLP, PC

  • Speech-Language Pathologist
  • Stony Brook, NY
National Provider Identifier
1114159464
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000469 Issued in NY
Legal business name
THE SPEECH LANGUAGE PLACE, SLP, PC
Doing business as
The Speech Language Place, SLP
Practice address
207 Hallock Rd
Suite 6
Stony Brook, NY 11790-3033
Phone
(631) 751-3838
Fax
(631) 751-3767
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Melissa Schachter, M.S.NPI 1922501964
Title
President
Phone
(631) 751-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 000469 NY Primary

Addresses

Primary practice location

207 Hallock Rd
Suite 6
Stony Brook, NY 11790-3033

Mailing address

207 Hallock Rd Ste 6
Stony Brook, NY 11790-3072
Phone (631) 751-3838

Other names 1

  • The Speech Language Place, SLP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000515 NY Part B Supplier - Clinic/Group Practice 5193871119 Receives reassigned benefits from 1 practitioner
Practice locations: Stony Brook, NY

National Provider Directory

National Provider Directory
Tax ID family
The Speech Language Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

207 Hallock Rd
Ste 6
Stony Brook, NY 11790
Phone (631) 751-3838

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1114159464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD STE 6",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903072",
            "telephone_number": "631-751-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD",
            "address_2": "SUITE 6",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903033",
            "telephone_number": "631-751-3838",
            "fax_number": "631-751-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH LANGUAGE PLACE, SLP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHACHTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-751-3838",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Speech Language Place, SLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.