Individual provider Active NPI

Holly Reis Linardy, MS, CCC-SLP

  • Speech-Language Pathologist
  • New Haven, CT
National Provider Identifier
1619580214
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003754 Issued in CT
Practice address
1 Long Wharf Dr Ste 202
New Haven, CT 06511-5591
Phone
(203) 688-8872
Fax
(203) 688-4542
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 003754 CT Primary

Addresses

Primary practice location

1 Long Wharf Dr Ste 202
New Haven, CT 06511-5591

Mailing address

146 Cedar Rd
Southport, CT 06890-1064
Phone (413) 262-4778

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

LicenseStateTypeSpecialty
003754CTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1619580214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CEDAR RD",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901064",
            "telephone_number": "413-262-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR STE 202",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115591",
            "telephone_number": "203-688-8872",
            "fax_number": "203-688-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINARDY",
        "first_name": "HOLLY",
        "middle_name": "REIS",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.