Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063729887 Individual Practitioner Female Practitioner

Diane Atlagic Bloom , MA, CCC-SLP

Speech-Language Pathologist • Monticello, NY

Professional Overview & Biography Verified Profile Summary

Diane Bloom, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Monticello, NY. Practice services are available at 37 BREAKEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

37 Breakey Ave

Monticello, NY 127014268

Telephone 8457940128
Fax 8477940250
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Monticello, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Monticello, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 019518-1

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NY 019518

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Joan Mingo , PT

Physical Therapist - Pediatrics

NPI 1043596737

Physical Therapist

Julia Zanger , MSCCCSLP

Speech-Language Pathologist

NPI 1962711291

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 02, 2019

Registered at 37 BREAKEY AVE, MONTICELLO, NY 127014268 (Tel: 8457940128)

📍
Updated Business Mailing Address August 02, 2019

Registered at P.O. BOX 187, WHITE LAKE, NY 127860001 (Tel: 9179215420)

👤
Provider Name / Credentials Updated August 02, 2019

Recorded as DIANE BLOOM, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2019

Speech-Language Pathologist (License #019518-1 in NY)

NPI Profile Active September 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2010

Registered at 544 BROADWAY, SUITE 3, MONTICELLO, NY 127011174 (Tel: 8457943500)

📍
Updated Business Mailing Address September 01, 2010

Registered at 544 BROADWAY, SUITE 3, MONTICELLO, NY 127011174 (Tel: 8457943500)

👤
Provider Name / Credentials Updated September 01, 2010

Recorded as DIANE ATLAGIC, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2010

Speech-Language Pathologist (License #019518 in NY)

🟢
Initial NPI Registration & Enumeration September 01, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063729887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2010
Last Update: August 02, 2019
Sole Proprietor: No

Mailing Address

P.o. Box 187

White Lake, NY 127860001

Phone: 9179215420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.