Organization Active NPI

Small Wonders S.L.P,, P.C.

  • Speech-Language Pathologist
  • Goshen, NY
National Provider Identifier
1790145753
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015159-1 Issued in NY
Legal business name
SMALL WONDERS S.L.P,, P.C.
Practice address
18 Victoria Ter
Goshen, NY 10924-2206
Phone
(347) 389-4961
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Mrs. Cristine Labush, M.S. CCC-SLPNPI 1730245382
Title
President/SLP
Phone
(347) 386-4961

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 015159-1 NY Primary

Addresses

Primary practice location

18 Victoria Ter
Goshen, NY 10924-2206

Mailing address

18 Victoria Ter
Goshen, NY 10924-2206
Phone (347) 389-4961

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": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1790145753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 VICTORIA TER",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242206",
            "telephone_number": "347-389-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 VICTORIA TER",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242206",
            "telephone_number": "347-389-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL WONDERS S.L.P,, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "LABUSH",
        "authorized_official_first_name": "CRISTINE",
        "authorized_official_title_or_position": "PRESIDENT/SLP",
        "authorized_official_telephone_number": "347-386-4961",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015159-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.