Active NPI
Patrice L Crowley-Scavo, MS
- Speech-Language Pathologist
- Holbrook, NY
National Provider Identifier
1124304381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009936
- Practice address
- 110 Thunder Rd
Holbrook, NY 11741 - Phone
- (631) 472-9013
- NPI assigned
- Nov 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009936 | NY | Primary |
Addresses
Primary practice location
110 Thunder Rd
Holbrook, NY 11741
Mailing address
150 Park Ave
Amityville, NY 11701
Phone (631) 565-6000
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1124304381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PARK AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "11701",
"telephone_number": "631-565-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 THUNDER RD",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "11741",
"telephone_number": "631-472-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY-SCAVO",
"first_name": "PATRICE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.