Individual provider Active NPI

Celeste Atienza Briones-Phan, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1184449274
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
034901 Issued in NY
Practice address
1537 Washington Ave
Bronx, NY 10457-8388
Phone
(718) 583-7366
NPI assigned
Nov 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 034901 NY Primary

Addresses

Primary practice location

1537 Washington Ave
Bronx, NY 10457-8388

Mailing address

8279 Country Pointe Cir
Queens Village, NY 11427-3003
Phone (646) 407-9352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
034901NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1184449274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8279 COUNTRY POINTE CIR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114273003",
            "telephone_number": "646-407-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578388",
            "telephone_number": "718-583-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONES-PHAN",
        "first_name": "CELESTE",
        "middle_name": "ATIENZA",
        "credential": "CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.