NPIMap

Organization Active NPI

Sachem Central School District

  • Speech-Language Pathologist
  • Lake Ronkonkoma, NY
National Provider Identifier
1508293200
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003531 Issued in NY
Legal business name
SACHEM CENTRAL SCHOOL DISTRICT
Practice address
51 School Street
Lake Ronkonkoma, NY 11779
Phone
(631) 471-1890
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Susan Tuttle
Title
Coordinator of Student Services
Phone
(631) 471-1890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 003531 NY Primary

Addresses

Primary practice location

51 School Street
Lake Ronkonkoma, NY 11779

Mailing address

51 School Street
Lake Ronkonkoma, NY 11779
Phone (631) 471-1890

National Provider Directory

National Provider Directory
Tax ID family
Sachem Central School District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1508293200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SCHOOL STREET",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "11779",
            "telephone_number": "631-471-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SCHOOL STREET",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "11779",
            "telephone_number": "631-471-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACHEM CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COORDINATOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "631-471-1890"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.