Lisa Marie Scicluna, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009972-1 Issued in NY

Practice address

70 E Mountain Rd S
Cold Spring, NY 10516-3819

Phone

(845) 265-3216

NPI assigned

Sep 17, 2008

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1174772891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E MOUNTAIN RD S",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105163819",
            "telephone_number": "845-265-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E MOUNTAIN RD S",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105163819",
            "telephone_number": "845-265-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCICLUNA",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009972-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lyn Rotando, P.T.
• Julia Rotando
• Laura Theresa Ryan
• Debora Santos-Watts, RPH
• Bradley Wayne Schultz, LCSW
• John-Roch Stephen Sears, PHARMD
• Eva Margaret Sharpe-Pollock, LCSW
• James Smith, PH.,D.
• Sally A Smith
• Heidi Snyder, RPH

• All providers in Cold Spring, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.