Individual provider Active NPI

Alexis Marie Celentano, MS CCC-SLP

  • Speech-Language Pathologist
  • Riverhead, NY
National Provider Identifier
1558054494
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
031841 Issued in NY
Practice address
524 E Main St Ste 200
Riverhead, NY 11901-2668
Phone
(631) 538-0579
NPI assigned
May 26, 2023
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 031841 NY Primary

Addresses

Primary practice location

524 E Main St Ste 200
Riverhead, NY 11901-2668

Mailing address

524 E Main St Ste 200
Riverhead, NY 11901-2668
Phone (631) 538-0579

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121002519 NY Practitioner - Qualified Speech Language Pathologist 5890272876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4820 W Taft Rd
Suite 202
Liverpool, NY 13088-2806

524 E Main St
Suite 200
Riverhead, NY 11901-2668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
031841NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy for All PC Speech-Language Pathologist CurrentSince Jan 13, 2026 Accepting new patients

Locations

1491 Broadway Ave
Holbrook, NY 11741
Phone (631) 588-0400

524 E Main St
Ste 200
Riverhead, NY 11901
Phone (631) 369-3115

325 Meeting House Ln
Bldg 1
Southampton, NY 11968
Phone (631) 204-0202

Organizations & group practices 1

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1558054494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E MAIN ST STE 200",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012668",
            "telephone_number": "631-538-0579",
            "fax_number": "631-881-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MAIN ST STE 200",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012668",
            "telephone_number": "631-538-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELENTANO",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.