Collette Marie Case, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018724 Issued in NY

Practice address

4 Settler Ave
Coram, NY 11727-2118

Phone

(631) 312-2599

Fax

(631) 828-1035

NPI assigned

Dec 5, 2008

Last updated

Apr 18, 2019By the provider in NPPES

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

Other names 1

• Collette Marie Diebold Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Queens Village, NY
  • NPI 1972084366
  NPD

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1902041841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SETTLER AVE",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272118",
            "telephone_number": "631-312-2599",
            "fax_number": "631-828-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SETTLER AVE",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272118",
            "telephone_number": "631-312-2599",
            "fax_number": "631-828-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Hopkins Commons",
            "address_purpose": "LOCATION",
            "city": "Yaphank",
            "state": "NY",
            "postal_code": "119802014",
            "country_code": "US",
            "telephone_number": "631-312-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASE",
        "first_name": "COLLETTE",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLETTE",
            "last_name": "DIEBOLD",
            "middle_name": "MARIE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Carapezza
• Oyuki Cardenas
• Maggie Mae Carine
• Cathryn Carmona
• Kristy Casanova
• Thomas Cass, PH.D.
• Carreen Castroll, NP
• Ronaldine Celestin
• Cynthia Centrella, LPN
• Paul G Ceschini

• Speech-Language Pathologist in Coram, NY
• Providers in Coram, 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 Apr 18, 2019; 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.