Individual provider Active NPI

Leselle Denine Robinson, MS, CCC-SLP

  • Speech-Language Pathologist
  • Deer Park, NY
National Provider Identifier
1669617056
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016888-1 Issued in NY
Practice address
18 W 21St St
Deer Park, NY 11729-3918
Phone
(917) 794-0229
NPI assigned
Dec 13, 2008
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 016888-1 NY Primary

Addresses

Primary practice location

18 W 21St St
Deer Park, NY 11729-3918

Mailing address

18 W 21St St
Deer Park, NY 11729-3918
Phone (917) 794-0229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510000849 NY Practitioner - Qualified Speech Language Pathologist 9335403765 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epic Long IslandGroup PAC ID 7315835907, 43 clinicians

Practice addresses (Care Compare)

1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone 5167397733420

1500 Hempstead Turnpike
East Meadow, NY 11554-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016888NYMDClinical Psychologist
016888-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Medical Services PC CurrentSince Oct 1, 2019 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Apr 8, 2024 Accepting new patients
Epic Long Island CurrentSince Jul 15, 2023 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Jul 15, 2023 Accepting new patients
Global SLP OT PT & Psychological Services, PLLC Speech-Language Pathologist CurrentSince Jun 1, 2021 Accepting new patients
Global Speech Language Pathology PC Speech-Language Pathologist CurrentSince Oct 2, 2019 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Oct 7, 2019 Accepting new patients
Beacon Speech-Language Pathology Physical and Occupational Therapy Speech-Language Pathologist CurrentSince May 1, 2018 Accepting new patients

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

1979 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 327-4681

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

1441 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 625-6846

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1669617056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W 21ST ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293918",
            "telephone_number": "917-794-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W 21ST ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293918",
            "telephone_number": "917-794-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LESELLE",
        "middle_name": "DENINE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-13",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016888-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.