Rebecca Beth Koblick, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017623-1 Issued in NY

Practice address

386 Route 59
Suite 102
Airmont, NY 10952-3428

Phone

(845) 368-7927

NPI assigned

Nov 18, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Judi Dobner Speech Therapy PLLC

  • Speech-Language Pathologist
  • Airmont, NY
  • NPI 1164110169
  NPD (past)
• Judi Dobner Therapist Agency LLC

  • Early Intervention Provider Agency
  • Airmont, NY
  • NPI 1033345186
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1912152000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 GRANDVIEW AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012806",
            "telephone_number": "845-364-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 ROUTE 59",
            "address_2": "SUITE 102",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523428",
            "telephone_number": "845-368-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBLICK",
        "first_name": "REBECCA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017623-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffry Kashuk, MD
• Tami Kaufmann
• Samantha Keorasmey, LPN
• Marion Bunce Kharem, LCSW
• Christina King
• Boris Korik, DDS
• Shifra Kreitman, MSED BCBA LBA
• Namratha Mary Kuruvilla
• L'Chaim Medical PC
• Lance Tristan Enterprises, Inc.

• Speech-Language Pathologist in Airmont, NY
• Providers in Airmont, 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 18, 2008; 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.