Phyllis D. Klein, M.SCCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0117711 Issued in NY

Practice address

121 Jackson Ave.
Mineola Union Free School District
Mineola, NY 11501

Phone

(516) 237-2200

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 identifiers 1

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.

• Mineola Union Free School District

  • Local Education Agency (LEA)
  • Mineola, NY
  • NPI 1538218870
  NPD (past)

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": "1215214218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 JACKSON AVENUE",
            "address_2": "MINEOLA UNION FREE SCHOOL DISTRICT",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-237-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 JACKSON AVE.",
            "address_2": "MINEOLA UNION FREE SCHOOL DISTRICT",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-237-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "PHYLLIS",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "M.SCCC/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": "0117711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINEOLA UFSD",
            "identifier": "25130000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine King, RPAC
• Wendy L Kinzler, MD
• Jean Kirk, PHD
• Ronald Kirzner, M.D.
• Klein Geier Lipp MD LLP
• Robert A Klein, MD
• Steven A Klein, MD
• Stanislaw Piotr Klek, M.D.
• Sarah Allison Klinger, D.O.
• Stephanie Klosek, DO

• Speech-Language Pathologist in Mineola, NY
• Providers in Mineola, 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.