Larisa Zirkiyev, MA, CCC-SLP TSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016525 Issued in NY

Practice address

11215 72ND Rd Apt LL4
Forest Hills, NY 11375-4670

Phone

(718) 263-3363

Fax

(718) 263-3361

NPI assigned

Sep 20, 2010

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aim High Speech Therapy Services PLLC

  • Speech-Language Pathologist
  • Forest Hills, NY
  • NPI 1881912251
  NPD Authorized official

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1356659726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 72ND RD APT LL4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754670",
            "telephone_number": "718-263-3363",
            "fax_number": "718-263-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 72ND RD APT LL4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754670",
            "telephone_number": "718-263-3363",
            "fax_number": "718-263-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14744 69th Rd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113671732",
            "country_code": "US",
            "telephone_number": "347-558-6823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10915 Queens Blvd",
            "address_2": "Lower Level",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113755482",
            "country_code": "US",
            "telephone_number": "347-558-6823",
            "fax_number": "206-203-1544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIRKIYEV",
        "first_name": "LARISA",
        "credential": "MA, CCC-SLP TSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Forest Hills, NY
• Providers in Forest Hills, 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 Jun 13, 2019; 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.