Active NPI
Dawn McDonald, MA CCC-SLP, TSSLD-BE
- Speech-Language Pathologist
- Copiague, NY
National Provider Identifier
1407524838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 030995
- Practice address
- 2650 Great Neck Rd.
Copiague, NY 11726 - Phone
- (631) 842-4011
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 36582 | CA | |
| Speech-Language Pathologist | 235Z00000X | 030995 | NY | Primary |
Addresses
Primary practice location
2650 Great Neck Rd.
Copiague, NY 11726
Mailing address
2650 Great Neck Rd.
Copiague, NY 11726
Phone (631) 842-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36582 | CA | MD | Speech-Language Pathologist |
| 030995 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1407524838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 GREAT NECK RD.",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "11726",
"telephone_number": "631-842-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 GREAT NECK RD.",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "11726",
"telephone_number": "631-842-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP, TSSLD-BE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2024-07-02",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "36582",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "030995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Copiague, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.