Organization Active NPI

Lucas Speech Language Pathology PLLC

  • Speech-Language Pathologist
  • Warwick, NY
National Provider Identifier
1174948624
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0150201 Issued in NY
Legal business name
LUCAS SPEECH LANGUAGE PATHOLOGY PLLC
Practice address
10 Colonial Ave
Warwick, NY 10990-1135
Phone
(845) 243-3133
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Mrs. Ingrid Rebecca Lucas, MS CCC-SLP
Title
Speech Pathologist/Owner
Phone
(845) 243-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 0150201 NY Primary

Addresses

Primary practice location

10 Colonial Ave
Warwick, NY 10990-1135

Mailing address

10 Colonial Ave
PO Box 336
Warwick, NY 10990-1135
Phone (845) 243-3133

National Provider Directory

National Provider Directory

Locations

10 Colonial Ave
Warwick, NY 10990
Phone (845) 986-8868

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1174948624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COLONIAL AVE",
            "address_2": "PO BOX 336",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901135",
            "telephone_number": "845-243-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COLONIAL AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901135",
            "telephone_number": "845-243-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS SPEECH LANGUAGE PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "845-243-3133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0150201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.