Audrey Jeanne Scollan, M.A., CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019663-1 Issued in NY

Practice address

49 Wireless Blvd
Suite 170
Hauppauge, NY 11788-3965

Phone

(631) 382-7311

Fax

(631) 382-7399

NPI assigned

Mar 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Interoperability endpoints

• Direct secure messaging: audrey.scollan@direct.stonybrookmedicine.edu

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.

• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
  • NPI 1972523348
  NPD

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1225352073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WIRELESS BLVD",
            "address_2": "SUITE 170",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883965",
            "telephone_number": "631-382-7311",
            "fax_number": "631-382-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WIRELESS BLVD",
            "address_2": "SUITE 170",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883965",
            "telephone_number": "631-382-7311",
            "fax_number": "631-382-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLLAN",
        "first_name": "AUDREY",
        "middle_name": "JEANNE",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019663-1",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gary Schwartz, DDS
• Mark Jesse Schwartz, NP
• Christine Marie Schwizer, R.D., C.D.N
• Joanne M Sciacca, OD
• Lee Scimeca
• Scott a. Vinci, D.C., P.C.
• Kathleen Scotti, M.S. CCC-SLP, TSSLD
• T'Yanna Scudder, MHC-LP
• Alyse Marie Scura, LMHC
• Gary S Seiden, DDS.

• Speech-Language Pathologist in Hauppauge, NY
• Providers in Hauppauge, 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 3, 2012; 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.