Organization Active NPI

Mind Body Speech Wellness P.C.

  • Speech-Language Pathologist
  • Merrick, NY
National Provider Identifier
1952219453
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MIND BODY SPEECH WELLNESS P.C.
Practice address
2630 Riverside Ave
Merrick, NY 11566-4515
Phone
(347) 259-0763
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Marisa Marchica, CCC-SLP
Title
Speech Language Pathologist
Phone
(347) 259-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2630 Riverside Ave
Merrick, NY 11566-4515

Mailing address

2630 Riverside Ave
Merrick, NY 11566-4515
Phone (347) 259-0763

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1952219453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 RIVERSIDE AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664515",
            "telephone_number": "347-259-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 RIVERSIDE AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664515",
            "telephone_number": "347-259-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SPEECH WELLNESS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "MARCHICA",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-259-0763",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.