Taconic Audiology, PLLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

001627 Issued in NY

Legal business name

TACONIC AUDIOLOGY, PLLC

Doing business as

Millbrook Audiology

Practice address

2510 Route 44
Salt Point, NY 12578-8040

Phone

(845) 765-3475

Fax

(914) 337-0541

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Noel Therese Thayer, MA, CCC-ANPI 1568468486

Title

Owner/Audiologist

Phone

(845) 765-3475

Specialties & licenses 1

Addresses

Other names 1

• Millbrook Audiology Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noel T Thayer, AUDIOLOGIST

  • Audiologist
  • Bronxville, NY
  • NPI 1568468486
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1992143929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 ROSSWAY RD",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697354",
            "telephone_number": "845-765-3475",
            "fax_number": "914-337-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 ROUTE 44",
            "city": "SALT POINT",
            "state": "NY",
            "postal_code": "125788040",
            "telephone_number": "845-765-3475",
            "fax_number": "914-337-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACONIC AUDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "845-765-3475",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "001627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrook Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Rose Ponzini, BCBA
• Lucia Ribeiro
• Marilyn Rosenberg, LCSW-R
• Sharon Obstetrical,Gynecological,Medical Surgical Group PLLC
• Ann Sienkiewicz, LPN
• Shasta Danielle Treadway, PMHNP
• Melissa Valentino, M.A.
• Jacob Logan Wasserman, LMHC
• Olivia Weyant, LCSW
• Dawn M Whitten, LCSW

• Hearing and Speech Clinic/Center in Salt Point, NY
• Providers in Salt Point, NY by specialty
• Hearing and Speech Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.