Alyssa Danielle Vancooten, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

032955 Issued in NY

Practice address

299 Sycamore LN
Islandia, NY 11749-1586

Phone

(631) 348-5037

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Speech Language Place

  • Hearing and Speech Clinic/Center
  • Stony Brook, NY
  • NPI 1770222143
  NPD

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1245007475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUNBONNET LN",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 SYCAMORE LN",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491586",
            "telephone_number": "631-348-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCOOTEN",
        "first_name": "ALYSSA",
        "middle_name": "DANIELLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theracare
• Tina Flanagan Licensed Mental Health Counselor P.C. (True Inspiration Counseling)
• Tatiana Tonelli
• Sarah Tran, MD
• Ashley Trinidad, LMT
• Victims Information Bureau of Suffolk
• Farrah Victor
• Vital Medi
• Linda A Wagner, RN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2917)

• Speech-Language Pathologist in Islandia, NY
• Providers in Islandia, 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 Dec 7, 2023; 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.