Beacon

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEACON

Practice address

1441 Old Northern Blvd
Roslyn, NY 11576-2146

Phone

(516) 632-1105

NPI assigned

Mar 21, 2011

Last updated

Mar 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Pedro

Title

School Psychologist

Phone

(516) 987-1272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1154620854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GRANGE ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762146",
            "telephone_number": "516-632-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "PEDRO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-987-1272"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bartner, PSY. D
• Claudia Bartner
• Linda A Bastian, P.A.
• Rachel Marie Bath, PA-C
• Jeffrey Baumel, M.D.
• Beacon Speech-Language Pathology Physical and Occupational Therapy (Beacon Therapy Services)
• Beacon Therapy Services PLLC
• Beacon Therapy Services, PLLC
• Julia Anne Bebry, F.N.P
• Becon Therapy Services

• Community/Behavioral Health Agency in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.