Latoya Phidd, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1405623201 Issued in NY

Practice address

65 Court St
Brooklyn, NY 11201-4916

Phone

(718) 935-2219

NPI assigned

Jun 11, 2020

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

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.

• Laura Fontaine

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1942627062
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1184249526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PAERDEGAT 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014916",
            "telephone_number": "718-935-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIDD",
        "first_name": "LATOYA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "1405623201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Guerra Phelps, APRN, FNP-C
• Sarah J Phen, OD
• Katherine Pheysey, LMSW
• Connor Phibbs
• Raveena Phichitsingh
• Phil Anesthesia P.C.
• Melissa Philadelphia, M.D.
• Denise Philbert, RN
• Donna-Marie Philbert, MS.ED
• Tricia Philbert, LCSW

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Jun 11, 2020; 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.