Individual provider Active NPI

Heidi Anne Colaizzo, MS CCC-SLP

  • Speech-Language Pathologist
  • Lagrangeville, NY
National Provider Identifier
1669622601
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009025-1 Issued in NY
Practice address
232 Bloomer Rd
Lagrangeville, NY 12540-6229
Phone
(845) 227-3240
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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 009025-1 NY Primary

Addresses

Primary practice location

232 Bloomer Rd
Lagrangeville, NY 12540-6229

Mailing address

15 Woodfield Rd
Hyde Park, NY 12538-1918
Phone (845) 229-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
009025-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Altogether Children'S PT, OT, & SLP, PLLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1669622601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WOODFIELD RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381918",
            "telephone_number": "845-229-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BLOOMER RD",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406229",
            "telephone_number": "845-227-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAIZZO",
        "first_name": "HEIDI",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009025-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.