Active NPI
Allison Farrell
- Speech-Language Pathologist
- Northport, NY
National Provider Identifier
1114455235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 027778
- Practice address
- 100 Ocean Ave
Northport, NY 11768-1854 - Phone
- (631) 262-6840
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Speech-Language Pathologist | 235Z00000X | 027778 | NY | Primary |
Addresses
Primary practice location
100 Ocean Ave
Northport, NY 11768-1854
Mailing address
55 Johnson LN
Bay Shore, NY 11706-7812
Phone (631) 356-4321
Other practice location 1
301 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 588-0530
Other practice location 2
29 Pinewood Dr
Commack, NY 11725-5612
Phone (631) 499-1237
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027778 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleary Deaf Child Center, Inc. | Past | Accepting new patients | |
| Building Blocks Developmental Pre-School | 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 1598917569
-
- Local Education Agency (LEA)
- Nesconset, NY
- NPI 1801944665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1114455235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 JOHNSON LN",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067812",
"telephone_number": "631-356-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OCEAN AVE",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681854",
"telephone_number": "631-262-6840"
}
],
"practiceLocations": [
{
"address_1": "301 Smithtown Blvd",
"address_purpose": "LOCATION",
"city": "Nesconset",
"state": "NY",
"postal_code": "11767",
"country_code": "US",
"telephone_number": "631-588-0530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29 Pinewood Dr",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117255612",
"country_code": "US",
"telephone_number": "631-499-1237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRELL",
"first_name": "ALLISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.