Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679458657 Individual Practitioner Female Practitioner

Willow Vivian Copulos

Speech-Language Pathologist • Staten Island, NY

Professional Overview & Biography Verified Profile Summary

Willow Copulos is a certified Speech-Language Pathologist practicing in Staten Island, NY. With approximately 4 years of clinical experience since completing medical education in 2022, Willow Copulos delivers high-quality medical care to the local community at 1415 RICHMOND AVE.

Willow Copulos does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1415 Richmond Ave

Staten Island, NY 103141553

Telephone 8774073422
Fax 8774074329
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Staten Island, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -10.1 yrs vs City Avg
City Avg: 14.1 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1116 Specialists

Practicing in Staten Island, NY (25106 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Copulos (4 Years) 4 Yrs
Staten Island Specialty Average (14.1 Years) 14.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 033852

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

40 Associated Practitioners
Matthew Durny

Occupational Therapist

NPI 1003034612
Jennifer Chazan , OT

Occupational Therapist

NPI 1003056102

Occupational Therapist

Regina Derikito , PT

Physical Therapist

NPI 1003137415

Physical Therapist

Janette Boney , OT

Occupational Therapist

NPI 1003149980

Occupational Therapist

Jennifer Duggins , PT

Physical Therapist

NPI 1003168790

Physical Therapist

Shelley Poliner , LPT

Physical Therapist

NPI 1003194721

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2025

Registered at 1415 RICHMOND AVE, STATEN ISLAND, NY 103141553 (Tel: 8774073422)

📍
Updated Business Mailing Address August 08, 2025

Registered at 7 CARNEGIE PLZ, CHERRY HILL, NJ 080031000 (Tel: 8774073422)

👤
Provider Name / Credentials Updated August 08, 2025

Recorded as WILLOW COPULOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2025

Speech-Language Pathologist (License #033852 in NY)

🟢
Initial NPI Registration & Enumeration August 08, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679458657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2025
Last Update: August 08, 2025
Sole Proprietor: No

Mailing Address

7 Carnegie Plz

Cherry Hill, NJ 080031000

Phone: 8774073422

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.