Organization Active NPI

Speech and Learn SLP, PLLC

  • Speech-Language Pathologist
  • Yonkers, NY
National Provider Identifier
1407991235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014400-1 Issued in NY
Legal business name
SPEECH AND LEARN SLP, PLLC
Practice address
1 Executive Blvd
4TH Floor
Yonkers, NY 10701-6822
Phone
(914) 457-9095
Fax
(914) 457-9332
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lakisha Medina, CCC-SLP
Title
Managing Member
Phone
(914) 457-9095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 014400-1 NY Primary

Addresses

Primary practice location

1 Executive Blvd
4TH Floor
Yonkers, NY 10701-6822

Mailing address

1 Executive Blvd
4TH Floor
Yonkers, NY 10701-6822
Phone (914) 457-9095

National Provider Directory

National Provider Directory

Locations

1 Executive Blvd
Ste 4
Yonkers, NY 10701
Phone (914) 457-9095

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407991235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD",
            "address_2": "4TH FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016822",
            "telephone_number": "914-457-9095",
            "fax_number": "914-457-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD",
            "address_2": "4TH FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016822",
            "telephone_number": "914-457-9095",
            "fax_number": "914-457-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LEARN SLP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "914-457-9095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014400-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.