Individual provider Active NPI

Holly Maria Christian, CCC-SLP

  • Speech-Language Pathologist
  • Huntington Station, NY
National Provider Identifier
1467615443
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
58015504 Issued in NY
Practice address
36 Hillwood Dr
Huntington Station, NY 11746-1343
Phone
(845) 649-6664
NPI assigned
Jul 9, 2008
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 58015504 NY Primary

Addresses

Primary practice location

36 Hillwood Dr
Huntington Station, NY 11746-1343

Mailing address

16 Grandview St
Apt 2
Huntington, NY 11743-3548
Phone (845) 649-6664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002131 NY Practitioner - Qualified Speech Language Pathologist 7416280623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58015504NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Speech-Language Pathologist CurrentSince May 5, 2025 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

81 Mall Dr
Commack, NY 11725
Phone (631) 326-4428

8045 Winchester Blvd
Bldg 80
Queens Village, NY 11427
Phone (718) 217-4242

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1467615443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GRANDVIEW ST",
            "address_2": "APT 2",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433548",
            "telephone_number": "845-649-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 HILLWOOD DR",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461343",
            "telephone_number": "845-649-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "HOLLY",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58015504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.