Individual provider Active NPI

Joan B. Archard, CCC, LSP

  • Speech-Language Pathologist
  • Westhampton Beach, NY
National Provider Identifier
1780963256
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007243-1 Issued in NY
Practice address
215 Old Riverhead Rd
Westhampton Beach, NY 11978-1206
Phone
(631) 447-5992
NPI assigned
Aug 15, 2011
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 007243-1 NY Primary

Addresses

Primary practice location

215 Old Riverhead Rd
Westhampton Beach, NY 11978-1206

Mailing address

215 Old Riverhead Rd
Westhampton Beach, NY 11978-1206
Phone (631) 447-5992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007243-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Long Island CurrentSince Mar 1, 2023 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Mar 1, 2023 Accepting new patients
E. Suffolk Boces Past Accepting new patients

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1780963256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD RIVERHEAD RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781206",
            "telephone_number": "631-447-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD RIVERHEAD RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781206",
            "telephone_number": "631-447-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHARD",
        "first_name": "JOAN",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "CCC, LSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007243-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.