Active NPI
Lisa Ann Sessa, M.S. CCC-SLP
- Speech-Language Pathologist
- Holbrook, NY
National Provider Identifier
1518388347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 023457-1
- Practice address
- 16 3Rd St
Holbrook, NY 11741-1419 - Phone
- (631) 896-4352
- NPI assigned
- Dec 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 023457-1 | NY | Primary |
Addresses
Primary practice location
16 3Rd St
Holbrook, NY 11741-1419
Mailing address
1363 Veterans Memorial Hwy Ste 8
Hauppauge, NY 11788-3046
Phone (631) 896-4352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03906609 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023457-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1518388347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 VETERANS MEMORIAL HWY STE 8",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883046",
"telephone_number": "631-896-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 3RD ST",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117411419",
"telephone_number": "631-896-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SESSA",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "023457-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03906609",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.