Active NPI
Haven Speech-Language Therapy PLLC
- Speech-Language Pathologist
- Fulton, NY
National Provider Identifier
1750035564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- HAVEN SPEECH-LANGUAGE THERAPY PLLC
- Practice address
- 314 Park St Ste 201
Fulton, NY 13069-2506 - Phone
- (315) 591-0462
- NPI assigned
- Feb 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Marie Peters, MS-CCC/SLP
- Title
- Owner
- Phone
- (585) 297-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
314 Park St Ste 201
Fulton, NY 13069-2506
Mailing address
11468 Calkins Rd
Cato, NY 13033-9726
Phone (315) 591-0462
Other names 1
- West Speech-Language Therapy PLLC
National Provider Directory
National Provider DirectoryLocations
314 Park St
Ste 201
Fulton, NY 13069
Phone (315) 591-0462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780704000000",
"number": "1750035564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11468 CALKINS RD",
"city": "CATO",
"state": "NY",
"postal_code": "130339726",
"telephone_number": "315-591-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 PARK ST STE 201",
"city": "FULTON",
"state": "NY",
"postal_code": "130692506",
"telephone_number": "315-591-0462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN SPEECH-LANGUAGE THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-10",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-297-7878",
"authorized_official_credential": "MS-CCC/SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Speech-Language Therapy PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.