Active NPI
Speech 101 P.C.
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1780360396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH 101 P.C.
- Practice address
- 2722 E 22ND St Apt 2a
Brooklyn, NY 11235-2808 - Phone
- (718) 974-8744
- NPI assigned
- Jun 27, 2023
- 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
- Ariella Demino, M.S., CCC-SLP, TSSLD
- Title
- Speech-Language Pathologist
- Phone
- (718) 974-8744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2722 E 22ND St Apt 2a
Brooklyn, NY 11235-2808
Mailing address
2722 E 22ND St Apt 2a
Brooklyn, NY 11235-2808
Phone (718) 974-8744
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1275996381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1780360396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 E 22ND ST APT 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352808",
"telephone_number": "718-974-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 E 22ND ST APT 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352808",
"telephone_number": "718-974-8744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH 101 P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "DEMINO",
"authorized_official_first_name": "ARIELLA",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "718-974-8744",
"authorized_official_credential": "M.S., CCC-SLP, TSSLD"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.