Active NPI
Seagull Ventures LLC
- Speech-Language Pathologist
- New Milford, CT
National Provider Identifier
1114289352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003097
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Alison Waldmann, MSCCCSLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- New Milford, CT
- NPI 1467780213
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.