NPIMap

Organization Active NPI

Westchester-Punam Therateam LLC

  • Early Intervention Provider Agency
  • Mahopac, NY
National Provider Identifier
1598230641
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
WESTCHESTER-PUNAM THERATEAM LLC
Practice address
572 Route 6
Mahopac, NY 10541
Phone
(845) 519-2295
Fax
(845) 519-2297
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Kristen Bellom, CLINSCD CCC-SLP
Title
Co-Owner
Phone
(845) 519-2295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

572 Route 6
Mahopac, NY 10541

Mailing address

572 Route 6
Mahopac, NY 10541
Phone (845) 519-2295

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1598230641",
    "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": "845-519-2295",
            "fax_number": "845-519-2297"
        },
        {
            "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",
            "fax_number": "845-519-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER-PUNAM THERATEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "BELLOM",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "845-519-2295",
        "authorized_official_credential": "CLINSCD CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.