Candice Cepeda

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024934-1 Issued in NY

Practice address

118 Spring St
Port Jefferson, NY 11777-1817

Phone

(631) 476-0564

NPI assigned

Aug 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marion K. Salomon

  • Early Intervention Provider Agency
  • Plainview, NY
  • NPI 1770846677
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1972903946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SPRING ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SPRING ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771817",
            "telephone_number": "631-476-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPEDA",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024934-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "024934-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Cauchi
• Gail Edith Cavanagh, LCSW
• James P. Cavanagh, MD
• Philip Joseph Celestino, C.PED.
• Alexandra Cella, LMSW
• Cerulean Willow Mental Health Counseling PLLC
• Nancy Louise Cerullo, LCSW-R
• Sarah Marie Chacko, MD
• Sherly T Chamakala, N.P
• Bo Chao, M.D.

• Speech-Language Pathologist in Port Jefferson, NY
• Providers in Port Jefferson, 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 Nov 27, 2019; 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.