CANDICE CEPEDA (NPI# 1972903946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972903946 |
| Entity Type | Individual |
| Full Name | CANDICE CEPEDA |
| Practice Address |
118 Spring St Port Jefferson NY 11777-1817 |
| Practice Telephone | 6314760564 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 024934-1 | NY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE SPEECH LANGUAGE PATHOLOGIST LICENSE | 024934-1 | 01 |
| Street Address |
118 SPRING ST |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902110059 | Kristin Ericson | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-07-31 |
| 1871837922 | Christian Adam Scott | Social Worker | 118 Spring St, Jefferson Academic Center, Port Jefferson, NY 11777-1817 | 2012-11-15 |
| 1841508546 | Shauna S O'hanlon | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-16 |
| 1235447053 | Lisa Taxman Goldfarb | Psychologist | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-14 |
| 1922315878 | Lisa Jill Reilly | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-13 |
| 1669789525 | Nancy Rosenberg | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-13 |
| 1942517842 | Lisa Rachel Kaye | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| 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 |
|---|---|---|---|---|
| 1578070017 | Rebecca C Kirschner | Speech-Language Pathologist | 201 W Broadway Apt 343, Port Jefferson, NY 11777-1353 | 2018-01-05 |
| 1568860948 | Candace Gandulla | Speech-Language Pathologist | 450 Myrtle Ave, Port Jefferson, NY 11777-1739 | 2014-12-16 |
| 1114204047 | Mary Elizabeth Guerrero | Speech-Language Pathologist | 85 Leeward Ct, Port Jefferson, NY 11777-2311 | 2011-11-06 |
| 1215229778 | Maureen J Buchanan | Speech-Language Pathologist | 11 Princesstree Court, Port Jefferson, NY 11777-1742 | 2011-05-03 |
| 1962728816 | Kristen Conover Reilly | Speech-Language Pathologist | 109 Rustic Rd, Port Jefferson, NY 11777-2032 | 2010-04-18 |
| 1033446240 | Heather Baron | Speech-Language Pathologist | 21 Sands Ln, Port Jefferson, NY 11777-1112 | 2009-11-09 |
| 1588899280 | Caryn J. Gluick | Speech-Language Pathologist | 170 Windward Ct S, Port Jefferson, NY 11777-2326 | 2009-05-25 |
| 1457596207 | Regina Ann Provisiero | Speech-Language Pathologist | 220 Windward Ct N, Port Jefferson, NY 11777-2323 | 2008-12-09 |
| 1215172168 | Beth Barnett | Speech-Language Pathologist | 5 Keewaydin Cir, Port Jefferson, NY 11777-2063 | 2008-12-06 |
| 1356474688 | Wendy Deyoung Luca | Speech-Language Pathologist | 2 Landing Ln, Port Jefferson, NY 11777-1107 | 2007-03-14 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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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.