MRS. HEATHER M BOLANOS (NPI# 1457610826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457610826 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER M BOLANOS |
| Credential | MS SLP |
| Practice Address |
538 Broadhollow Rd Ste 202 Melville NY 11747-3668 |
| Mailing Address |
51 Lincoln Ave Apt D3 Rockville Centre NY 11570-5730 |
| Practice Telephone | 5163226349 |
| Mailing Telephone | 5163226349 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 021899 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
538 BROADHOLLOW RD STE 202 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699289736 | Eileen Beth Liebler | Specialist | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-11-28 |
| 1316458532 | Karen Ruth Magee | Behavior Technician | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-10-15 |
| 1124538921 | Jenetta Butler | Behavior Technician | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-10-05 |
| 1790202125 | Rebecca-lynne Cipriano | Early Intervention Provider Agency | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-08-25 |
| 1154841443 | Christian Bustamante | Specialist | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-06-27 |
| 1477073849 | Christine Burns | Behavior Technician | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-06-26 |
| 1043748650 | Natalie L Lindo | Specialist | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-05-25 |
| 1568999449 | Jenna Caruso | Behavior Technician | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-05-22 |
| 1730616335 | Christopher Michael Cardella | Specialist | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-05-15 |
| 1609300755 | Nimra Alvi | Behavior Technician | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2017-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090375 | Amanda Mary Moran | Speech-Language Pathologist | 17 Wharton Pl, Melville, NY 11747-4261 | 2020-10-16 |
| 1538727490 | Genna S Rubenstein | Speech-Language Pathologist | 12 Westbourne Ln, Melville, NY 11747-3305 | 2019-06-04 |
| 1184171373 | Ilene Nicole Grobman | Speech-Language Pathologist | 24 Wilmington Dr, Melville, NY 11747-4026 | 2016-09-06 |
| 1992129688 | Meryl Weinkranz | Speech-Language Pathologist | 10 Bramble Ln, Melville, NY 11747-2315 | 2014-02-14 |
| 1285909119 | Jessica Abel | Speech-Language Pathologist | 10 Pembury Ct, Melville, NY 11747-3303 | 2012-03-10 |
| 1942585757 | Jorge Luis Vega Flores | Speech-Language Pathologist | 538 Broadhollow Road Suite 202, Melville, NY 11747 | 2011-10-13 |
| 1457662850 | Bridget C Messina | Speech-Language Pathologist | 12 Fleetwood Ave, Melville, NY 11747-1514 | 2010-06-30 |
| 1609103100 | Ashley L Lyons | Speech-Language Pathologist | 49 Cawfield Ln, Melville, NY 11747-1637 | 2009-11-04 |
| 1609013804 | Brynn M Ferbin | Speech-Language Pathologist | 28 Round Tree Dr, Melville, NY 11747-3315 | 2009-01-10 |
| 1811142243 | Jaime L Keslonsky | Speech-Language Pathologist | 14 Sevenoake Rd, Melville, NY 11747-3927 | 2008-11-26 |
| Find all providers in MELVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.