Organization Active NPI

Michele Pasquale Speech Language Pathologist PC

  • Early Intervention Provider Agency
  • Sayville, NY
National Provider Identifier
1407216856
Registry record updated Feb 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0131871 Issued in NY
Legal business name
MICHELE PASQUALE SPEECH LANGUAGE PATHOLOGIST PC
Practice address
240 Saint Lawrence St
Sayville, NY 11782-2111
Phone
(631) 244-0075
NPI assigned
Feb 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2016

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

Authorized official

Name
Mrs. Michele Pasquale, MA CCC SLPNPI 1114073376
Title
Speech Language Pathologist
Phone
6312440000754

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 0131871 NY Primary

Addresses

Primary practice location

240 Saint Lawrence St
Sayville, NY 11782-2111

Mailing address

240 Saint Lawrence St
Sayville, NY 11782-2111
Phone (631) 244-0075

Other identifiers 1

IdentifierTypeStateIssuer
03661561MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1456531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456531200000",
    "number": "1407216856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SAINT LAWRENCE ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822111",
            "telephone_number": "631-244-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SAINT LAWRENCE ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822111",
            "telephone_number": "631-244-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE PASQUALE SPEECH LANGUAGE PATHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-27",
        "last_updated": "2016-02-27",
        "status": "A",
        "authorized_official_last_name": "PASQUALE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "6312440000754",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0131871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03661561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; 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.