NPIMap

Organization Active NPI

Island Therapy Speech Services

  • Local Education Agency (LEA)
  • East Patchogue, NY
National Provider Identifier
1346396249
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
010393 Issued in NY
Legal business name
ISLAND THERAPY SPEECH SERVICES
Practice address
95 Durkee LN
East Patchogue, NY 11772-5818
Phone
(631) 286-0343
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Caroline Catherine Brabazon-Wilkinson, MSCCCSLP
Title
Owner
Phone
(631) 286-0343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 010393 NY Primary

Addresses

Primary practice location

95 Durkee LN
East Patchogue, NY 11772-5818

Mailing address

PO Box 6
Bellport, NY 11713-0006
Phone (631) 286-0343

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346396249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117130006",
            "telephone_number": "631-286-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 DURKEE LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725818",
            "telephone_number": "631-286-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND THERAPY SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRABAZON-WILKINSON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-286-0343",
        "authorized_official_credential": "MSCCCSLP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "010393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.