Christina Rose Maddock, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026123-1 Issued in NY

Practice address

2650 Great Neck Rd
Copiague, NY 11726-1600

Phone

(631) 842-4015

NPI assigned

Nov 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Christina Rose Campisi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Copiague Public School

  • Local Education Agency (LEA)
  • Copiague, NY
  • NPI 1649325838
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1851834618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LINCOLN AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622618",
            "telephone_number": "917-478-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 GREAT NECK RD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117261600",
            "telephone_number": "631-842-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117622618",
            "country_code": "US",
            "telephone_number": "917-478-7887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOCK",
        "first_name": "CHRISTINA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026123-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "CAMPISI",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sinciana Louidor
• Marie J Louisjacques II
• Julie Macanka
• Joseph Macchia
• John French Mackay III
• Colleen Rose Maidhof, LMSW
• Alexa Marnalse
• Patricia Mary Masi-Czubay, NYCPS-4649
• Amanda Matteo
• Tumpa Matubber

• Speech-Language Pathologist in Copiague, NY
• Providers in Copiague, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.