Speak Out New York

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEAK OUT NEW YORK

Practice address

185 Evans Ave
Freeport, NY 11520-1433

Phone

(212) 920-0641

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Vickie BageorgosNPI 1285871335

Title

Owner

Phone

(212) 920-0641

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.

• Vickie Vasiliki Bageorgos, MS, CCC/SLP

  • Speech-Language Pathologist
  • Bayside, NY
  • NPI 1285871335
  NPD (past) Authorized official

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1346527041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 203RD ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 EVANS AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201433",
            "telephone_number": "212-920-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK OUT NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "BAGEORGOS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-920-0641"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Shore Guidance Center
• South Shore Rehabilitation, LLC (South Shore Rehabilitation and Nursing Center, LLC)
• Keesha Souvenir
• Standbyyoucompanioncare LLC
• Michael Walter Stashin
• Charrelle Ikyta Staton-Mosley, RN
• Deborah Stecker, LMT
• Stephanie Julian DDS PC

• Speech-Language Pathologist in Freeport, NY
• Providers in Freeport, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.