Active NPI
Speak Well SLP PC
- Early Intervention Provider Agency
- Northport, NY
National Provider Identifier
1639487218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 011475-1
- Legal business name
- SPEAK WELL SLP PC
- Practice address
- 13A Makamah Beach Rd
Northport, NY 11768-1338 - Phone
- (917) 856-7354
- NPI assigned
- Sep 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thea Kabacinski
- Title
- President
- Phone
- (917) 856-7354
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 011475-1 | NY | Primary |
Addresses
Primary practice location
13A Makamah Beach Rd
Northport, NY 11768-1338
Mailing address
13A Makamah Beach Road
Northport, NY 11768
Phone (917) 856-7354
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284681600000",
"number": "1639487218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13A MAKAMAH BEACH ROAD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "917-856-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13A MAKAMAH BEACH RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681338",
"telephone_number": "917-856-7354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEAK WELL SLP PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-17",
"last_updated": "2010-09-17",
"status": "A",
"authorized_official_last_name": "KABACINSKI",
"authorized_official_first_name": "THEA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-856-7354"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "011475-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.