Organization Active NPI

Speak Well SLP PC

  • Early Intervention Provider Agency
  • Northport, NY
National Provider Identifier
1639487218
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
011475-1 Issued in NY
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

Updated by the provider on Sep 17, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.