Organization Active NPI

Lilac Speech Services PLLC

  • Speech-Language Pathologist
  • Pittsford, NY
National Provider Identifier
1629846118
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LILAC SPEECH SERVICES PLLC
Practice address
642 Kreag Rd Ste 103F
Pittsford, NY 14534-3736
Phone
(585) 478-0770
NPI assigned
Dec 14, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Sarah E Smith, CCC-SLPNPI 1528472016
Title
Owner/SLP
Phone
(585) 478-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

642 Kreag Rd Ste 103F
Pittsford, NY 14534-3736

Mailing address

19 Windrush Valley Rd
Fairport, NY 14450-3911
Phone (585) 478-0770

National Provider Directory

National Provider Directory

Locations

642 Kreag Rd
Ste 103F
Pittsford, NY 14534
Phone (585) 478-0770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1629846118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WINDRUSH VALLEY RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503911",
            "telephone_number": "585-478-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 KREAG RD STE 103F",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343736",
            "telephone_number": "585-478-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC SPEECH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "585-478-0770",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.