Organization Active NPI

Haven Speech-Language Therapy PLLC

  • Speech-Language Pathologist
  • Fulton, NY
National Provider Identifier
1750035564
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Jun 6, 2026

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.