Fun With Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FUN WITH SPEECH THERAPY

Practice address

3871 Sedgwick Ave
#2A
Bronx, NY 10463-4422

Phone

(347) 210-0223

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Miss Viktoriya Bogomolnaya, CCC-SLP/TSSLD

Title

Director

Phone

(347) 210-0223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1639504848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 SEDGWICK AVE",
            "address_2": "#2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634422",
            "telephone_number": "347-210-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 SEDGWICK AVE",
            "address_2": "#2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634422",
            "telephone_number": "347-210-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUN WITH SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "BOGOMOLNAYA",
        "authorized_official_first_name": "VIKTORIYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-210-0223",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CCC-SLP/TSSLD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.