Johanna Grant, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025319 Issued in NY

Practice address

7 Stacey LN
East Northport, NY 11731-2706

Phone

(631) 374-7799

NPI assigned

Jan 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1659737922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STACEY LN",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312706",
            "telephone_number": "631-374-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 STACEY LN",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312706",
            "telephone_number": "631-374-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JOHANNA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-02",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Lyle Goldman, M.D.
• Miaomiao Gong
• Diane L. Gorenstein, LCSW
• Dianna R Gott, LCSW
• Martin I Granoff, MD
• Nicole L Grimaldi, DPT
• Thomas Michael Gruhn
• Dawn Crystal Gudmundsen
• Abigail Guerrier
• Megan Guilfoyle, OTL, MS

• Speech-Language Pathologist in East Northport, NY
• Providers in East Northport, 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 1, 2022; 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.