Active NPI
Tatevik Ananyan
- Speech-Language Pathologist
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 14409 Greenview Dr Ste 102
Laurel, MD 20708-4213 - Phone
- (301) 498-8100
- Fax
- (301) 498-0009
- NPI assigned
- Aug 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 02436L | MD | |
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
14409 Greenview Dr Ste 102
Laurel, MD 20708-4213
Mailing address
22 Glenbrook Rd
Hicksville, NY 11801-4834
Phone (917) 900-8474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02436L | Other | MD | MARYLAND DEPARTMENT OF HEALTH |
| 032706 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929002162 | NY | Practitioner - Qualified Speech Language Pathologist | 8628422268 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ats Rehab OT and PT and SLP PLLC
Practice addresses (Care Compare)
6180 Woodhaven Blvd
Rego Park, NY 11374-2742
Phone (732) 399-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02436L | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ats Rehab OT & PT & SLP PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ny Speech Pathology Consultants, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Associated Professional Rehabilitation Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Rehabilitation Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1105 E County Line Rd
Ste 213
Lakewood, NJ 08701
10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108
274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400
6180 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 446-4300
Organizations & group practices 4
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.
-
- Occupational Therapist
- Long Beach, NY
- NPI 1841711454
NY, Speech-Language Pathologist
-
- Speech-Language Pathologist
- Locust Valley, NY
- NPI 1285976324
NY, Speech-Language Pathologist
-
- Physical Therapist
- Laurel, MD
- NPI 1275639155
Speech-Language Pathologist
-
- Physical Therapist
- Laurel, MD
- NPI 1386744035
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1992471296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 GLENBROOK RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014834",
"telephone_number": "917-900-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14409 GREENVIEW DR STE 102",
"city": "LAUREL",
"state": "MD",
"postal_code": "207084213",
"telephone_number": "301-498-8100",
"fax_number": "301-498-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANANYAN",
"first_name": "TATEVIK",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2023-02-02",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "02436L",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND DEPARTMENT OF HEALTH",
"identifier": "02436L",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
"identifier": "032706",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.