Active NPI
Mind Body Speech Wellness P.C.
- Speech-Language Pathologist
- Merrick, NY
National Provider Identifier
1952219453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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.