Organization Active NPI

Lauren Speech Language Pathologist, P.C.

  • Early Intervention Provider Agency
  • West Islip, NY
National Provider Identifier
1154878890
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
014142-1 Issued in NY
Legal business name
LAUREN SPEECH LANGUAGE PATHOLOGIST, P.C.
Practice address
482 Keith LN
West Islip, NY 11795-3430
Phone
(516) 965-4174
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Lauren Lindwall, MA, CCC/SLPNPI 1437290483
Title
President
Phone
(516) 965-4174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 014142-1 NY Primary

Addresses

Primary practice location

482 Keith LN
West Islip, NY 11795-3430

Mailing address

482 Keith LN
West Islip, NY 11795-3430
Phone (516) 965-4174

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1154878890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 KEITH LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953430",
            "telephone_number": "516-965-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 KEITH LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953430",
            "telephone_number": "516-965-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN SPEECH LANGUAGE PATHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "LINDWALL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-965-4174",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "014142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.