Organization Active NPI

Small Talk Pediatric Speech Therapy

  • Early Intervention Provider Agency
  • New York, NY
National Provider Identifier
1821446790
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
025244 Issued in NY
Legal business name
SMALL TALK PEDIATRIC SPEECH THERAPY
Practice address
1732 1St Ave # 25553
New York, NY 10128-5177
Phone
(646) 470-3401
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Miss Keira Stewart, MS.CCC-SLP
Title
Speech Language Pathologist
Phone
(646) 385-2354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 025244 NY Primary

Addresses

Primary practice location

1732 1St Ave # 25553
New York, NY 10128-5177

Mailing address

1732 1St Ave # 25553
New York, NY 10128-5177
Phone (646) 470-3401

Other identifiers 1

IdentifierTypeStateIssuer
04253105MedicaidNY

National Provider Directory

National Provider Directory

Locations

1732 1st Ave
#25553
New York, NY 10128
Phone (646) 470-3401

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1821446790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 1ST AVE # 25553",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285177",
            "telephone_number": "646-470-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 1ST AVE # 25553",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285177",
            "telephone_number": "646-470-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK PEDIATRIC SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KEIRA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "646-385-2354",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "025244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04253105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.