Organization Active NPI

Full Scope Speech-Language Pathology

  • Speech-Language Pathologist
  • Wellsville, NY
National Provider Identifier
1407740384
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FULL SCOPE SPEECH-LANGUAGE PATHOLOGY
Practice address
4473 Bolivar Rd
Wellsville, NY 14895-9395
Phone
(716) 378-4252
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Taylor Anne MorrisonNPI 1710519301
Title
Owner
Phone
(716) 378-4252

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4473 Bolivar Rd
Wellsville, NY 14895-9395

Mailing address

4473 Bolivar Rd
Wellsville, NY 14895-9395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701000277 NY Part B Supplier - Clinic/Group Practice 1658884986 Receives reassigned benefits from 1 practitioner
Practice locations: Bolivar, NY

National Provider Directory

National Provider Directory

Locations

80 Liberty St
Bolivar, NY 14715

Practitioners & affiliated clinicians

Practitioners 2

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": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1407740384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 BOLIVAR RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 BOLIVAR RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959395",
            "telephone_number": "716-378-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SCOPE SPEECH-LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-378-4252"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.