Supercalifragilistic Speech Language Therapy Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4809 Issued in CT

Legal business name

SUPERCALIFRAGILISTIC SPEECH LANGUAGE THERAPY INC.

Practice address

1204 Main St # 218
Branford, CT 06405-3787

Phone

(203) 208-8377

NPI assigned

May 18, 2017

Organization subpart

No

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

Authorized official

Name

Briana O'Neill, MS CCC-SLPNPI 1942692934

Title

Ceo/Founder

Phone

(203) 500-0969

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Briana F. O'Neill, CCC-SLP

  • Speech-Language Pathologist
  • Winthrop, MA
  • NPI 1942692934

  CT

  Medicare reassignment Care Compare group Authorized official
• Danielle Rose Schwartz

  • Speech-Language Pathologist
  • Woodbridge, CT
  • NPI 1598518490

  MA

  Medicare reassignment Care Compare group NPD
• Lila Crowley, OTR

  • Occupational Therapist
  • Needham, MA
  • NPI 1487380689
  Medicare reassignment Care Compare group NPD
• Carolyn Jean Lorber, OTR/L

  • Occupational Therapist
  • Watertown, MA
  • NPI 1720658461
  Medicare reassignment NPD
• Moriah Baker

  • Speech-Language Pathologist
  • Mansfield, MA
  • NPI 1881318970
  NPD
• Karen Terese Blaydes, SLP

  • Speech-Language Pathologist
  • Walpole, MA
  • NPI 1801828298
  NPD

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1366979502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAIN ST STE 218",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MAIN ST # 218",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053787",
            "telephone_number": "203-208-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERCALIFRAGILISTIC SPEECH LANGUAGE THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "203-500-0969",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "4809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13500248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Storme Streicker, LCSW
• Debra Lynn Struzinski, LMFT
• Aubrey Erin Stuhlman, BA, MS
• Pamela Michele Sugg, MSW LCSW
• Rebecca L Sullivan, MS, NCC, LPC
• Danielle Marie Suraci, L.C.S.W.
• Carolyn M Sweeney, LMFT
• Michelle Adair Swiantek, LPC
• Sylcom Angelscare LLC
• Andrea Marie Szilagyi, RN

• Speech-Language Pathologist in Branford, CT
• Providers in Branford, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.