Active NPI
Maura B O'Leary, CCC-SLP, TSHH
- Speech-Language Pathologist
- Center Moriches, NY
National Provider Identifier
1952439366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016127-1
- Practice address
- 49 Old Neck Rd
Center Moriches, NY 11934 - Phone
- (516) 987-3380
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016127-1 | NY | Primary |
Addresses
Primary practice location
49 Old Neck Rd
Center Moriches, NY 11934
Mailing address
49 Old Neck Rd
Center Moriches, NY 11934-2811
Phone (516) 987-3380
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016127-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1952439366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 OLD NECK RD",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119342811",
"telephone_number": "516-987-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 OLD NECK RD",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "11934",
"telephone_number": "516-987-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "MAURA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "CCC-SLP, TSHH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016127-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Center Moriches, NY
- Lauren Elizabeth NG, D.O.
- Brittany Ann Noeldechen, CCC-SLP
- Erin O'Brien
- Yvonne Clark O'Brien, RPH
- Rosemary Theresa O'Day, LPN
- Oasis Rehabilitation and Nursing LLC
- Stefanie Ortiz
- Laura Otton
- Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic
- Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.