Renee Trachtenberg, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

001550-1 Issued in NY

Practice address

844 Crestview Ave
Valley Stream, NY 11581-3118

Phone

(516) 791-3210

Fax

(516) 791-3211

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

• Transition Solutions Inc.

  • Speech-Language Pathologist
  • Valley Stream, NY
  • NPI 1275768251
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245377498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 CRESTVIEW AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813118",
            "telephone_number": "516-791-3210",
            "fax_number": "516-791-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 CRESTVIEW AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813118",
            "telephone_number": "516-791-3210",
            "fax_number": "516-791-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHTENBERG",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "001550-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktoria Toth, M.D.
• Yolene Toussaint-Gourgue
• Danielle Fatima Toussaint, LPN
• Violene Toussaint, OTA
• Kristin Towey
• Stephen I Trama, P.T.
• Transition Solutions Inc.
• Bessie Trastelis
• Heidi Trautwein, DDS
• Michael Francis Trepeta, D.O.

• Speech-Language Pathologist in Valley Stream, NY
• Providers in Valley Stream, 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.