Individual provider Active NPI

Colleen Maria Becton, M.A.,C.C.C./S.L.P

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1205079308
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007126-1 Issued in NY
Practice address
768 E 22ND St
Brooklyn, NY 11210-1120
Phone
(718) 421-2078
Fax
(718) 421-2078
NPI assigned
Apr 20, 2009
Last updated
Apr 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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 007126-1 NY Primary

Addresses

Primary practice location

768 E 22ND St
Brooklyn, NY 11210-1120

Mailing address

768 E 22ND St
Brooklyn, NY 11210-1120
Phone (718) 421-2078

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
007126-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Talking Tots Speech Pathology, P.C Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1205079308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101120",
            "telephone_number": "718-421-2078",
            "fax_number": "718-421-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101120",
            "telephone_number": "718-421-2078",
            "fax_number": "718-421-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECTON",
        "first_name": "COLLEEN",
        "middle_name": "MARIA",
        "credential": "M.A.,C.C.C./S.L.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007126-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.