Westside Speech and Language Pathology PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WESTSIDE SPEECH AND LANGUAGE PATHOLOGY PLLC

Practice address

182 Queensland Dr
Spencerport, NY 14559-2410

Phone

(716) 984-1296

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Nicole JohnsonNPI 1659664571

Title

Owner

Phone

(716) 984-1296

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Johnson

  • Speech-Language Pathologist
  • Rochester, NY
  • NPI 1659664571
  NPD Authorized official

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1750150819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145590297",
            "telephone_number": "716-984-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 QUEENSLAND DR",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592410",
            "telephone_number": "716-984-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SPEECH AND LANGUAGE PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-984-1296"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Wassinger, FNP
• Elizabeth Webster, RN
• Wedgewood Nursing Home, Inc.
• Mikel Westphal
• Westside Community Care Management Corporation
• Amanda Noelle White
• Callie Jordan White, RN
• Christine Marie Whitenack, M.S.
• Jamie Williams, LMHC, NCC
• Gail Barber Wold, RN

• Speech-Language Pathologist in Spencerport, NY
• Providers in Spencerport, 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 Dec 29, 2023; 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.