NPIMap

Organization Active NPI

Denise Mantione, M.S.CCC-SLP PLLC Pediatric Speech-Language Pathology

  • Early Intervention Provider Agency
  • Fairport, NY
National Provider Identifier
1780998641
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
004641-1 Issued in NY
Legal business name
DENISE MANTIONE, M.S.CCC-SLP PLLC PEDIATRIC SPEECH-LANGUAGE PATHOLOGY
Practice address
17 Melbourne GRN
Fairport, NY 14450-8611
Phone
(585) 732-9865
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Denise A. Mantione, M.S.CCC-SLPNPI 1205089737
Title
Owner/Director
Phone
(585) 732-9865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 004641-1 NY Primary

Addresses

Primary practice location

17 Melbourne GRN
Fairport, NY 14450-8611

Mailing address

17 Melbourne GRN
Fairport, NY 14450-8611
Phone (585) 732-9865

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1780998641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MELBOURNE GRN",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508611",
            "telephone_number": "585-732-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MELBOURNE GRN",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508611",
            "telephone_number": "585-732-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE MANTIONE, M.S.CCC-SLP PLLC PEDIATRIC SPEECH-LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "MANTIONE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "585-732-9865",
        "authorized_official_credential": "M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "004641-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.