Individual provider Active NPI

Christina S Besstak

  • Speech-Language Pathologist
  • West Seneca, NY
National Provider Identifier
1679956858
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
024791 Issued in NY
Practice address
675 Potters Rd
West Seneca, NY 14224-2652
Phone
(716) 677-3580
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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 024791 NY Primary

Addresses

Primary practice location

675 Potters Rd
West Seneca, NY 14224-2652

Mailing address

164 Hirschfield Dr
Williamsville, NY 14221-6808
Phone (716) 361-9394

Other names 1

  • Christina Sophia Besstak Professional name

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

State licenses

LicenseStateTypeSpecialty
024791NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1679956858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HIRSCHFIELD DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216808",
            "telephone_number": "716-361-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 POTTERS RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242652",
            "telephone_number": "716-677-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSTAK",
        "first_name": "CHRISTINA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "BESSTAK",
            "middle_name": "SOPHIA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.