Westchester-Punam Therateam

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

022069-1 Issued in NY

Legal business name

WESTCHESTER-PUNAM THERATEAM

Practice address

572 Route 6
Mahopac, NY 10541

Phone

(845) 519-2295

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Kristen Bellom, CLINSCD

Title

Owner/Speech-Pathologist

Phone

(845) 519-2295

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Westchester-Punam Therateam2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Westchester-Punam Therateam LLC

  • Early Intervention Provider Agency
  • Mahopac, NY
  • NPI 1598230641
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Donovan

  • Speech-Language Pathologist
  • Mahopac, NY
  • NPI 1295578268
  NPD

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1497264238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "10541",
            "telephone_number": "845-519-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "10541",
            "telephone_number": "845-519-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER-PUNAM THERATEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "BELLOM",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/SPEECH-PATHOLOGIST",
        "authorized_official_telephone_number": "845-519-2295",
        "authorized_official_credential": "CLINSCD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022069-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04195828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Vought
• Julieann Kulas Waclawski, NP
• Alyssa Wall
• Regina Ward
• Christina Barbara Washburn Tucci
• Westchester-Punam Therateam LLC
• Olive L White, LPN
• Lidia Whitted, M.S.SLP
• Ireta J Williams, LPN
• Nagi Wissa

• Speech-Language Pathologist in Mahopac, NY
• Providers in Mahopac, 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 Sep 25, 2017; 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.