Kristen Michaela Clark

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

25 N Yew St
Glen Cove, NY 11542-1435

Phone

(516) 669-0434

NPI assigned

May 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Comprehensive Application Solutions, Inc.

  • Speech-Language Pathologist
  • Glen Cove, NY
  • NPI 1518514470
  NPD
• Comprehensive Application Solutions, Inc.

  • Early Intervention Provider Agency
  • Greenvale, NY
  • NPI 1689330656
  NPD

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1740927326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CALVERT DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912905",
            "telephone_number": "516-364-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N YEW ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421435",
            "telephone_number": "516-669-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KRISTEN",
        "middle_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Cirone, R.N.
• Erica Citrin
• City of Glen Cove
• City School District of Glen Cove
• Claire M. Li, DC PC
• Charmaine Clarke, LMSW
• Kristen Codoluto
• Barbara S. Cohen, PH. D.
• Frank D Cohen, DC
• Sydney Cohen

• Speech-Language Pathologist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.