Marisa Portanova

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

572 Route 6 Ste 102
Mahopac, NY 10541-4787

Phone

(845) 519-2295

NPI assigned

May 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Babble & Bite Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Pleasantville, NY
  • NPI 1598471419
  NPD Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1568954154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 LOCUST RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703721",
            "telephone_number": "914-879-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 ROUTE 6 STE 102",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414787",
            "telephone_number": "845-519-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTANOVA",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter G. Gorman DCPC
• Mychal S Petti
• Christopher Michael Pikoulas
• Gabrielle Pikoulas, MA PSYCHOLOGY
• Stephen Pommiss, DDS
• Christa L Porter, COTA
• Christina Powers
• Susan Powers, LPN
• Chandra Prasad
• Susan M Prevost, M.A.CCC-SLP

• 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 May 31, 2018; 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.