Regina Ann Provisiero, MA/CCC/SLP
Speech-Language Pathologist · Port Jefferson, NY
Regina Ann Provisiero, MA/CCC/SLP is a speech-language pathologist with a practice address in Port Jefferson, New York, and NPI 1457596207, issued on Dec 9, 2008. Check the license (New York 58017705, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Regina Ann Provisiero
- Credential
- MA/CCC/SLP
- Primary taxonomy
- Speech-Language Pathologist 235Z00000X
- License number
- 58017705 NY
Self-reported in NPPES; status is on the state search - Practice location
- 220 Windward CT N, Port Jefferson, NY 11777
- Phone
- (631) 525-7514
- Enumerated
- Dec 9, 2008
- Record last updated
- Dec 9, 2008 (not updated in 18 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20230110001165); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest speech-language pathologist records → All 24,851 in New York → Look up another NPI →
Verify Regina Ann Provisiero in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 58017705Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Sensory Solutions OF Long Island IncEast Setauket, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Regina Ann Provisiero among 24,851 speech-language pathologist records in New York
Regina Ann Provisiero, MA/CCC/SLP is one of 24,851 speech-language pathologist records with a practice address in New York. 2% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 7% of them.
- NPI issued2008 · 7% of these records are older, 81% newer
- In a Medicare fileYes · 2% of these records are
- In the CMS Doctors and Clinicians fileYes · 2% of these records are
- Graduated2014 · median 2014 among the 615 with a school on file
- Record last updated2008 · 75% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 235Z00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
29 speech-language pathologist records list a practice address in Port Jefferson
They are 29 of the 983 NPPES records with a practice address in Port Jefferson, and 24,851 speech-language pathologist records in New York.
All 24,851 in New York → Every provider in Port Jefferson → Speech-Language Pathologist nationwide →
The 8 speech-language pathologist records with the nearest ZIP codes
- Beth BarnettPort Jefferson, NY 117771215172168
- Heather Baron, MA CCC/SLPPort Jefferson, NY 117771033446240
- Victoria Blasi, SLPPort Jefferson, NY 117771407005184
- Marlene Bould, SLPPort Jefferson, NY 117771982821476
- Heather Coniglio, MA, CCC-SLPPort Jefferson, NY 117771619032950
- Kathleen Galway, MA CCC-SLPPort Jefferson, NY 117771972753812
- Caryn Gluick, M.A., CCC-SLPPort Jefferson, NY 117771588899280
- Perla Halegoua, M.A.,C.C.C.Port Jefferson, NY 117771174669444
Common questions
What is Regina Ann Provisiero, MA/CCC/SLP's NPI number?
Regina Ann Provisiero, MA/CCC/SLP's National Provider Identifier (NPI) is 1457596207, issued on Dec 9, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Regina Ann Provisiero, MA/CCC/SLP located?
The NPPES record lists a practice address at 220 Windward CT N, Port Jefferson, NY, 11777. Phone: (631) 525-7514. Providers update this record themselves, so call before visiting.
How can I verify Regina Ann Provisiero, MA/CCC/SLP's license?
NPPES lists New York license number 58017705, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.