Blaine Taub, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028837 Issued in NY

Practice address

39 Smith Ave
Mount Kisco, NY 10549-2838

Phone

(914) 244-9600

NPI assigned

May 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1124640396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N BROADWAY APT 2B",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061022",
            "telephone_number": "914-393-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492838",
            "telephone_number": "914-244-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUB",
        "first_name": "BLAINE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Andrea Tamayo Gomez, M.D
• Sierra Taplin, OTR/L
• Megan Tarantino, LCSW, CASAC MASTER
• Lindsay M Tarbell, LCSW
• Antonietta Tarnell
• Jenna Rachel Tauber, MD
• Carl H. Tegtmeier, D.M.D.
• Merrie Susan Teitel-Greene, CLINICAL SOCIAL WORK
• Alan V. Tepp, PH.D.
• Ruth Ellen Tesler, M.D.

• Speech-Language Pathologist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.