Individual provider Active NPI

Karen June O'Sullivan Seifert, MA CCC SLP

  • Speech-Language Pathologist
  • Patchogue, NY
National Provider Identifier
1679629497
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010201-01 Issued in NY
Practice address
5 Evans Ave
Patchogue, NY 11772-1515
Phone
(631) 730-6670
NPI assigned
Jan 26, 2007
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 010201-01 NY Primary

Addresses

Primary practice location

5 Evans Ave
Patchogue, NY 11772-1515

Mailing address

5 Evans Ave
Patchogue, NY 11772-1515
Phone (631) 730-6670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140711002013 NY Practitioner - Qualified Speech Language Pathologist 4183849805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Angels Center IncGroup PAC ID 0547409104, 2 clinicians

Practice addresses (Care Compare)

235 Blue Point Ave
Blue Point, NY 11715-1261
Phone (631) 363-5794

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010201-01NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Angels Center, Inc Speech-Language Pathologist CurrentSince May 1, 2013 Accepting new patients

Locations

235 Blue Point Ave
Blue Point, NY 11715
Phone (631) 363-5794

3500 Sunrise Hwy
Ste 111
Great River, NY 11739
Phone (631) 650-6545

12 Platinum Ct
Medford, NY 11763
Phone (516) 729-4834

77 N Centre Ave
Ste 215
Rockville Ctr, NY 11570
Phone (631) 363-5794

35 Church St
Ronkonkoma, NY 11779
Phone (631) 363-5794

1490 William Floyd Pkwy
Ste 107
Shirley, NY 11967
Phone (631) 363-1980

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, 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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1679629497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EVANS AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721515",
            "telephone_number": "631-730-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVANS AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721515",
            "telephone_number": "631-730-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN SEIFERT",
        "first_name": "KAREN",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010201-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.