Aerica Fredricks, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025800-1 Issued in NY

Practice address

524 E Main St Ste 200
Riverhead, NY 11901-2668

Phone

(631) 538-0579

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Speech Therapy for All PC

  • Speech-Language Pathologist
  • Riverhead, NY
  • NPI 1568085439
  Medicare reassignment NPD

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1891242897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ROCK CANDY LN",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121824321",
            "telephone_number": "518-522-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MAIN ST STE 200",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012668",
            "telephone_number": "631-538-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Madalon Hickey Way",
            "address_purpose": "LOCATION",
            "city": "Cohoes",
            "state": "NY",
            "postal_code": "120472339",
            "country_code": "US",
            "telephone_number": "518-233-1900 x5242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICKS",
        "first_name": "AERICA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025800-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Fowlkes Wilkins, RPH
• Lisa Fox, LMSW
• Summer Fox, PHYSICIAN ASSISTANT
• Michael Arthur Frangeskos, PA-C
• John Peter Franzone Sr., M.D.
• Matthew William Freudenberg
• Jane Daryl Frith, JANE FRITH,NPP
• Lauren Fuhs
• Patricia Renee Fulford
• Alicia Fusco

• Speech-Language Pathologist in Riverhead, NY
• Providers in Riverhead, 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 Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.