Tracy-Ann O'Leary, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011933-1 Issued in NY

Practice address

2850 N Jerusalem Rd
Wantagh, NY 11793-1125

Phone

(516) 396-2600

NPI assigned

Nov 4, 2011

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

Other names 1

• Mrs. Tracy-Ann Young Former name

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": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1184901142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ASHLAND DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544018",
            "telephone_number": "631-656-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N JERUSALEM RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931125",
            "telephone_number": "516-396-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "TRACY-ANN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011933-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY-ANN",
            "last_name": "YOUNG",
            "prefix": "MRS.",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nova Family Health NP, PC
• Jeffrey S. Novak, M.D.
• Danielle Nuccio, MS, CCC-SLP, TSHH
• Gabriel Nunez, MHC-LP
• Eilis O'Connell, LBA, BCBA-D
• Kristen O'Neil, LMSW
• Beth Robin Obergh, P.T.
• Olasunkanmi Olalere
• Keri L Oppenheimer, MS, CCC-A
• Optometry Associates of Wantagh, PC

• Speech-Language Pathologist in Wantagh, NY
• Providers in Wantagh, 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 Nov 4, 2011; 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.