Organization Active NPI

Seagull Ventures LLC

  • Speech-Language Pathologist
  • New Milford, CT
National Provider Identifier
1114289352
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003097 Issued in CT
Legal business name
SEAGULL VENTURES LLC
Practice address
19 Meadow Ridge LN
New Milford, CT 06776-3740
Phone
(203) 947-5782
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Mrs. Alison Waldmann, MSCCCSLPNPI 1467780213
Title
Owner/SLP
Phone
(203) 947-5782

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 003097 CT Primary

Addresses

Primary practice location

19 Meadow Ridge LN
New Milford, CT 06776-3740

Mailing address

19 Meadow Ridge LN
New Milford, CT 06776-3740
Phone (203) 947-5782

Other names 1

  • SEAGULL SPEECH & LANGUAGE SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1114289352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MEADOW RIDGE LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763740",
            "telephone_number": "203-947-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEADOW RIDGE LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763740",
            "telephone_number": "203-947-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGULL VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "WALDMANN",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "203-947-5782",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSCCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEAGULL SPEECH & LANGUAGE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.