Allison Wickers, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029085 Issued in NY

Practice address

885 Hampshire Rd
Bay Shore, NY 11706-7631

Phone

(631) 968-1250

NPI assigned

Jan 21, 2019

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Little Angels Center, Inc

  • Speech-Language Pathologist
  • Medford, NY
  • NPI 1588719041
  NPD (past)

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1184198327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 HAMPSHIRE RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067631",
            "telephone_number": "631-968-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Blue Point Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Point",
            "state": "NY",
            "postal_code": "117151261",
            "country_code": "US",
            "telephone_number": "631-363-5794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKERS",
        "first_name": "ALLISON",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Wetcher, MD
• Rory Whalley, PT,DPT
• Jamie Wheeler, M.S.E.D.
• Amanda Whittaker
• Antonette Julene Whyte-Etere, LCSW-R, CASAC
• William Thomas Wiedemann, DO
• William Robert Wiegman, DPM
• Howard R Wigdor
• William Onyebeke MD PC
• Dawn A Williams, CASAC-T

• Speech-Language Pathologist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.