NPIMap

Organization Active NPI

Three Village Central School District

  • Speech-Language Pathologist
  • Setauket, NY
National Provider Identifier
1306114392
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012429-1 Issued in NY
Legal business name
THREE VILLAGE CENTRAL SCHOOL DISTRICT
Practice address
134 Main St
Setauket, NY 11733-2833
Phone
(631) 730-4600
Fax
(631) 730-4604
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Mrs. Laurie Devore
Title
Executive Director, Pupil Personnel
Phone
(631) 730-4574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 012429-1 NY Primary

Addresses

Primary practice location

134 Main St
Setauket, NY 11733-2833

Mailing address

172 Hulse Ave
Wading River, NY 11792-1956
Phone (516) 848-0165

National Provider Directory

National Provider Directory
Tax ID family
Three Village Central School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

134 Main St
Setauket, NY 11733
Phone (631) 730-4600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1306114392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HULSE AVE",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921956",
            "telephone_number": "516-848-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MAIN ST",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332833",
            "telephone_number": "631-730-4600",
            "fax_number": "631-730-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE VILLAGE CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, PUPIL PERSONNEL",
        "authorized_official_telephone_number": "631-730-4574",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012429-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.