NPIMap

Organization Active NPI

Western New York Speech-Language Pathology, OT, and PT Consultants

  • Early Intervention Provider Agency
  • Victor, NY
National Provider Identifier
1386812550
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
WESTERN NEW YORK SPEECH-LANGUAGE PATHOLOGY, OT, AND PT CONSULTANTS
Practice address
590 Fishers Station Dr
Suite 130
Victor, NY 14564-9744
Phone
(585) 924-7207
Fax
(585) 924-7049
NPI assigned
Feb 11, 2008
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Laura A. Fenn, M.A., CCC-SLPNPI 1275629503
Title
Director
Phone
(585) 924-7207

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 002543-1 NY
Speech-Language Pathologist 235Z00000X 002543-1 NY
Early Intervention Provider Agency 252Y00000X 002543-1 NY
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

590 Fishers Station Dr
Suite 130
Victor, NY 14564-9744

Mailing address

590 Fishers Station Dr
Suite 130
Victor, NY 14564-9744
Phone (585) 924-7207

Other names 1

  • Clinical Associates of the Finger Lakes Former legal business name

National Provider Directory

National Provider Directory

Locations

590 Fishers Station Dr
Ste 130
Victor, NY 14564
Phone (585) 924-7207

Practitioners & affiliated clinicians

Practitioners 434

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.

View all 434

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1386812550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FISHERS STATION DR",
            "address_2": "SUITE 130",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649744",
            "telephone_number": "585-924-7207",
            "fax_number": "585-924-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FISHERS STATION DR",
            "address_2": "SUITE 130",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649744",
            "telephone_number": "585-924-7207",
            "fax_number": "585-924-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK SPEECH-LANGUAGE PATHOLOGY, OT, AND PT CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-924-7207",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "002543-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "002543-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "002543-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Associates of the Finger Lakes",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.