Sara Dee Speech Pathology, P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SARA DEE SPEECH PATHOLOGY, P.C.

Practice address

1407 Stony Brook Rd
Stony Brook, NY 11790-2214

Phone

(516) 650-0192

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Sara Deboer, M.S., CCC-SLP, TSSLDNPI 1598228082

Title

Speech-Language Pathologist

Phone

(516) 650-0192

Specialties & licenses 1

Addresses

Other names 1

• Sara Dee Pathology Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Deboer

  • Student in an Organized Health Care Education/Training Program
  • Stony Brook, NY
  • NPI 1598228082
  NPD Authorized official

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1972310753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902214",
            "telephone_number": "516-650-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902214",
            "telephone_number": "516-650-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA DEE SPEECH PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "DEBOER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-650-0192",
        "authorized_official_credential": "M.S., CCC-SLP, TSSLD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara Dee Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane M Santangelo, ANP-C
• Kristal M Santiago, FNP
• Diana C Santori, MS PA-C
• Allenjoy Santos, MD
• Sara Deboer
• Vanya Christopher Saradoff, M.D.
• Romil Sareen
• Adil Omar Sarfraz, MD
• Nazia H Sarker, MD
• Jacqueline Sarmiento

• Speech-Language Pathologist in Stony Brook, NY
• Providers in Stony Brook, 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 Dec 16, 2024; 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.