Whole Child SLP PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WHOLE CHILD SLP PC

Practice address

1038 Bay 24TH St
Far Rockaway, NY 11691-1802

Phone

(917) 796-7865

NPI assigned

Dec 12, 2012

Last updated

Dec 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ilanith Reuven, CCC-SLP

Title

Owner

Phone

(917) 796-7865

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, and the practitioner matching its NPPES authorized official.

• Ilanith I Hager Reuven, M.S. CCC/SLP

  • Speech-Language Pathologist
  • Hewlett, NY
  • NPI 1891934451
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1760728109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 BAY 24TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911802",
            "telephone_number": "917-796-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 BAY 24TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911802",
            "telephone_number": "917-796-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE CHILD SLP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "REUVEN",
        "authorized_official_first_name": "ILANITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-796-7865",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Lawrence Care Center LLC
• West Lawrence NP Family Health PLLC
• Quianna West
• Iesha Nate Whitaker, LMSW
• Nokosha Whittle
• Coleen D Whyte, LPN
• Daniella Wieder, LMSW
• Miriam Wiklar Trenk, MS
• Zodelia Williams-Langley, LMSW
• Junelle Williams

• Speech-Language Pathologist in Far Rockaway, NY
• Providers in Far Rockaway, 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 12, 2012; 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.