NPIMap

Organization Active NPI

Boon Speech Therapy PC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Forest Hills, NY
National Provider Identifier
1326397795
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
014489 Issued in NY
Legal business name
BOON SPEECH THERAPY PC
Practice address
64-05 Yellowstone Blvd.
208A
Forest Hills, NY 11375
Phone
(917) 324-3119
NPI assigned
Aug 31, 2012
Last updated
Aug 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Ms. Pisamai BoonyathitisukNPI 1467692251
Title
Speech Language Pathologist
Phone
(917) 324-3119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 014489 NY Primary

Addresses

Primary practice location

64-05 Yellowstone Blvd.
208A
Forest Hills, NY 11375

Mailing address

64-05 Yellowstone Blvd.
208A
Forest Hills, NY 11375
Phone (917) 324-3119

Other identifiers 1

IdentifierTypeStateIssuer
1467692251OtherNYSPEECH LANGUAGE PATHOLOGIST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1326397795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-05 YELLOWSTONE BLVD.",
            "address_2": "208A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "917-324-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-05 YELLOWSTONE BLVD.",
            "address_2": "208A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "917-324-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOON SPEECH THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "BOONYATHITISUK",
        "authorized_official_first_name": "PISAMAI",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "917-324-3119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "014489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "1467692251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.