Individual provider Active NPI

Gwendolyn Pinzone, MS ED,CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Buffalo, NY
National Provider Identifier
1942791819
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
Bloom Creative Arts and Therapy 3377 Lake Shore Rd
Buffalo, NY 14219
Phone
(716) 422-0070
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X NY Primary

Addresses

Primary practice location

Bloom Creative Arts and Therapy 3377 Lake Shore Rd
Buffalo, NY 14219

Mailing address

285 Hendricks Blvd
Amherst, NY 14226-3308
Phone (585) 205-0469

Other practice location 1

590 Fishers Station Dr Ste 130
Victor, NY 14564-9744
Phone (585) 924-7207

Other practice location 2

Therapeutic Link for Children 6167 W Quaker St
Orchard Park, NY 14127
Phone (716) 662-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Speech-Language Pathology, OT, and PT Consultants Speech-Language Pathologist Past Accepting new patients
Therapeutic Link for Children, PLLC Past Accepting new patients
Therapeutic Link for Children Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1942791819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 HENDRICKS BLVD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263308",
            "telephone_number": "585-205-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLOOM CREATIVE ARTS AND THERAPY 3377 LAKE SHORE RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14219",
            "telephone_number": "716-422-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Fishers Station Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145649744",
            "country_code": "US",
            "telephone_number": "585-924-7207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Therapeutic Link for Children 6167 W Quaker St",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "14127",
            "country_code": "US",
            "telephone_number": "716-662-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINZONE",
        "first_name": "GWENDOLYN",
        "credential": "MS ED,CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2023-08-14",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.