Sandra Anne Murtha, M.A. CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012201 Issued in NY

Practice address

29 Pinewood Dr
Commack, NY 11725-5612

Phone

(631) 499-1237

NPI assigned

Feb 15, 2007

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.

• Building Blocks Developmental Pre-School

  • Early Intervention Provider Agency
  • Commack, NY
  • NPI 1598917569
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205979507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 FEUEREISEN AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796307",
            "telephone_number": "631-738-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PINEWOOD DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255612",
            "telephone_number": "631-499-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHA",
        "first_name": "SANDRA",
        "middle_name": "ANNE",
        "credential": "M.A. CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Evan Mulligan
• John Mulligan
• Patricia M. Mulligan, R.N.
• Gary Muniz Jr., OTR L
• Solangel Muniz
• My Wellness Medical PLLC
• Nassau Suffolk Podiatry Associates
• Nassau Suffolk Services for the Autistic
• Alexandra Nastasi
• Brianne Navetta-Modrov, MD

• Speech-Language Pathologist in Commack, NY
• Providers in Commack, 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 Jul 8, 2007; 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.