Allison Patricia Basdavanos, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021320 Issued in NY

Practice address

100 Glen Cove Ave
Glen Cove, NY 11542-2818

Phone

(516) 609-2000

NPI assigned

Sep 2, 2011

Last updated

Jun 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• School for Language & Communication Development

  • Early Intervention Provider Agency
  • Glen Cove, NY
  • NPI 1326282229
  NPD (past)

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1437430584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FRANKLIN BLVD APT 6K",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614504",
            "telephone_number": "516-698-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLEN COVE AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422818",
            "telephone_number": "516-609-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASDAVANOS",
        "first_name": "ALLISON",
        "middle_name": "PATRICIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03692739",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freddie A Barfield II, RPA-C
• Kellie L. Barone, R.N., C.P.N.P.
• Erin Barrett, LCRA
• Abraham Eddy Barth, MD
• Belinda Basaca, M.D
• Gurbhushan Singh Basra, M.D.
• Allan Batoy, ANP
• Susan Bauman
• Samantha Rose Bautista, LMHC
• Ross I Bederman, DDS

• Speech-Language Pathologist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.