Rebecca Boyle Rodricks, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013103-1 Issued in NY

Practice address

35 Lafayette St
Williston Park, NY 11596-1711

Phone

(917) 589-0389

NPI assigned

Dec 14, 2009

Last updated

Nov 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Rebecca Ann Boyle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1649509092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LAFAYETTE ST",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961711",
            "telephone_number": "917-589-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LAFAYETTE ST",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961711",
            "telephone_number": "917-589-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRICKS",
        "first_name": "REBECCA",
        "middle_name": "BOYLE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013103-1",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BOYLE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey S Rein, DDS
• Rahaf Rezek Salib, FNP-BC
• Haqikah Richardson
• Robert I Rattiner MD PLLC
• Diane M Roche
• Sinead Rodriguez
• Dora Roxana Roman
• Martin Dennis Ronan, PA-C
• Michael Steven Rothberg, D.D.S
• Glen W Rowell, PT MA OCS

• Speech-Language Pathologist in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.