Individual provider Active NPI

Phyllis Ann Frenkel, MS,SLP,CCC

  • Speech-Language Pathologist
  • Syosset, NY
National Provider Identifier
1720224405
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007164 Issued in NY
Practice address
215 Coachman Place East
Cooper Kids Therapy Associates
Syosset, NY 11741
Phone
(516) 496-4460
Fax
(516) 921-4432
NPI assigned
Dec 30, 2008
Last updated
Dec 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 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 007164 NY Primary

Addresses

Primary practice location

215 Coachman Place East
Cooper Kids Therapy Associates
Syosset, NY 11741

Mailing address

805 Oakleigh Road
Valley Stream, NY 11581
Phone (516) 857-5557

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
007164NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1720224405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 OAKLEIGH ROAD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-857-5557",
            "fax_number": "516-612-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COACHMAN PLACE EAST",
            "address_2": "COOPER KIDS THERAPY ASSOCIATES",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11741",
            "telephone_number": "516-496-4460",
            "fax_number": "516-921-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENKEL",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS,SLP,CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.