Organization Active NPI

Simply You Speech Therapy, PLLC

  • Hearing and Speech Clinic/Center
  • Bay Shore, NY
National Provider Identifier
1346058385
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SIMPLY YOU SPEECH THERAPY, PLLC
Practice address
1357 Peters Blvd
Bay Shore, NY 11706-4848
Phone
(516) 473-6718
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Kaila Bardoo, M.S., CCC-SLP, TSSLDNPI 1003490665
Title
Speech-Language Pathologist
Phone
(516) 473-6718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1357 Peters Blvd
Bay Shore, NY 11706-4848

Mailing address

244 E Main St Ste 111
East Islip, NY 11730-2712

National Provider Directory

National Provider Directory

Locations

244 E Main St
East Islip, NY 11730

Practitioners & affiliated clinicians

Practitioners 1

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1346058385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E MAIN ST STE 111",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 PETERS BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064848",
            "telephone_number": "516-473-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY YOU SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "BARDOO",
        "authorized_official_first_name": "KAILA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-473-6718",
        "authorized_official_credential": "M.S., CCC-SLP, TSSLD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.