Provider Type Icon

SHRUB OAK CLINICAL SERVICES OT PT SLP LMSW PSYCHOLOGY PLLC NPI 1699255844


NPI Information

NPI: 1699255844
Provider Name: SHRUB OAK CLINICAL SERVICES OT, PT, SLP, LMSW, PSYCHOLOGY, PLLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
80 BROAD ST STE 1702
NEW YORK, NY
ZIP 10004
Phone: (212) 867-2922
Get Directions

SHRUB OAK CLINICAL SERVICES OT, PT, SLP, LMSW, PSYCHOLOGY, PLLC is a speech language pathologist in New York, NY. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. SHRUB OAK CLINICAL SERVICES OT, PT, SLP, LMSW, PSYCHOLOGY, PLLC NPI is 1699255844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

80 BROAD ST STE 1702
NEW YORK, NY
ZIP 10004-248
Phone: (212) 867-2922

The provider's authorized official is Lori Koffler .
The authorized official title is President and has the following contact phone number (917) 696-2171.

The enumeration date for this NPI number is 8/17/2018 and was last updated on 8/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist014220NEW YORKNo
21041C0700XSocial WorkerClinical097381No
3225100000XPhysical Therapist035660NEW YORKNo
4225X00000XOccupational Therapist016818NEW YORKNo
5235Z00000XSpeech-Language Pathologist002141NEW YORKNo
6235Z00000XSpeech-Language Pathologist02141NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1014220OTHERNEW YORKNEW YORK STATE EDUCATION DEPARTMENT
2016818OTHERNEW YORKNEW YORK STATE EDUCATION DEPARTMENT
3035660OTHERNEW YORKNEW YORK STATE EDUCATION DEPARTMENT
4097381OTHERNEW YORKNEW YORK STATE EDUCATION DEPARTMENT
5002141OTHERNEW YORKNEW YORK STATE EDUCATION DEPARTMENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.