Active NPI
Spectrum Therapy Services
- Multi-Specialty Clinic/Center
- Huntington, NY
National Provider Identifier
1154824555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SPECTRUM THERAPY SERVICES
- Practice address
- 21 Sweet Hollow Rd
Huntington, NY 11743-6530 - Phone
- (631) 385-3342
- NPI assigned
- Mar 12, 2018
- 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
- Diana Devivio, MS IN ED, PD IN ED
- Title
- Superintendent
- Phone
- (631) 385-3342
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Clinic/Center | 261Q00000X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
21 Sweet Hollow Rd
Huntington, NY 11743-6530
Mailing address
21 Sweet Hollow Rd
Huntington, NY 11743-6530
Phone (631) 385-3342
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520812800000",
"number": "1154824555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SWEET HOLLOW RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117436530",
"telephone_number": "631-385-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SWEET HOLLOW RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117436530",
"telephone_number": "631-385-3342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-12",
"last_updated": "2018-03-12",
"status": "A",
"authorized_official_last_name": "DEVIVIO",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "631-385-3342",
"authorized_official_credential": "MS IN ED, PD IN ED"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.