27 East Speech-Language Therapy, PLLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

27 EAST SPEECH-LANGUAGE THERAPY, PLLC

Practice address

29 Hickory Bend
Speonk, NY 11972

Phone

(631) 201-8870

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kristina M Potter, MS CCC-SLP, TSSLDNPI 1437750312

Title

Owner

Phone

(631) 201-8870

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Marie Potter, MS CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Speonk, NY
  • NPI 1437750312
  NPD Authorized official

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1306616909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "119720207",
            "telephone_number": "631-201-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HICKORY BEND",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "11972",
            "telephone_number": "631-201-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "27 EAST SPEECH-LANGUAGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-201-8870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP, TSSLD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Joyce Brooks, PSY.D.
• Janine Marie Bryant, RN
• Faye Catanzarite, PT
• Debra S Difrancesco, PT
• Dr. Diane Brooks, PSYD, PC

• Hearing and Speech Clinic/Center in Speonk, NY
• Providers in Speonk, NY by specialty
• Hearing and Speech Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.