Willow Vivian Copulos is a Speech-Language Pathologist practicing in Staten Island, New York. The National Provider Identifier (NPI) is #1679458657, which was assigned on August 8, 2025, and the registration record was last updated on August 8, 2025. The practitioner's main practice location is at 1415 Richmond Ave, Staten Island, NY 10314-1553; the contact telephone number is 8774073422, and the fax number is 8774074329. The primary taxonomy of Willow Vivian Copulos is Speech-Language Pathologist (235Z00000X). Willow Vivian Copulos is licensed to practice in the state of New York (#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.
| NPI | 1679458657 |
| Entity Type | Individual |
| Provider Name | WILLOW VIVIAN COPULOS |
| Gender | Female |
| Practice Address |
1415 Richmond Ave Staten Island NY 10314-1553 |
| Practice Telephone | 8774073422 |
| Practice Fax Number | 8774074329 |
| Mailing Address |
7 Carnegie Plz Cherry Hill NJ 08003-1000 |
| Mailing Telephone | 8774073422 |
| Mailing Fax Number | 8774074329 |
| Certification Date | 2025-08-08 |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |
| Is Sole Proprietor | N |
| PAC ID |
8224537428 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | WILLOW VIVIAN COPULOS |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Address |
7 Carnegie Plz Cherry Hill NJ 08003 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 033852 | NY |
| Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| Classification | Speech-Language Pathologist |
| Grouping | Speech, Language and Hearing Service Providers |
| Definition: 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. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Leslie M Arias | 4077 5th Ave, San Diego, CA 92103-2105 | Speech-Language Pathologist | 2026-02-06 |
| Hannah Mae Fryer | 1050 Main St Unit 16, East Greenwich, RI 02818-3163 | Speech-Language Pathologist | 2026-02-06 |
| Julia Trudeau | 543 Prospect St, West Boylston, MA 01583-2209 | Speech-Language Pathologist | 2026-02-07 |
| Pediatric and Adolescent Speech Therapy Associates | 51 N Main St, West Hartford, CT 06107-1940 | Speech-Language Pathologist | 2026-02-06 |
| Diana Halaliku | 1448 E Center St Ste G, Pocatello, ID 83201-4132 | Speech-Language Pathologist | 2026-02-07 |
| Claire Primm | 101 Drake Rd Ste B2, Pittsburgh, PA 15241-1556 | Speech-Language Pathologist | 2026-02-06 |
| Little Acorn Speech Therapy PLLC | 114 E Walnut St, Teutopolis, IL 62467-1154 | Speech-Language Pathologist | 2026-02-06 |
| Elizabeth June Seicamet | 10510 Marauder Way, San Diego, CA 92126-3298 | Speech-Language Pathologist | 2026-02-06 |
| Quayla Mauk | 1011 Union St, Oakland, CA 94607-2236 | Speech-Language Pathologist | 2026-02-06 |
| Positive Speech Partners LLC | 605 Saber Ln, Arnold, MD 21012-1991 | Speech-Language Pathologist | 2026-02-07 |
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| Street Address |
1415 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-1553 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Leah Dominguez Rodriguez | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Speech-Language Pathologist | 2025-08-15 |
| Lauren Linda Zakay · Lauren Berkovits | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Speech-Language Pathologist | 2025-10-08 |
| Yun Wa Chan | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Occupational Therapist | 2025-10-08 |
| Remy Ruiz | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Occupational Therapist | 2025-10-02 |
| Kimberly Sinclair | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Occupational Therapist | 2025-11-13 |
| Emily A Rodriguez | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Physical Therapist | 2025-06-30 |
| Amanda Nicole Valdez | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Occupational Therapist | 2025-05-30 |
| Aubrey Lynn Brinkley | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Occupational Therapist | 2025-10-15 |
| Samantha Wanamaker | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Occupational Therapist | 2026-01-12 |
| Remi M Feintuch | 1415 Richmond Ave, Staten Island, NY 10314-1553 | Physical Therapist | 2025-05-23 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Costco Wholesale Corporation | 2975 Richmond Ave, Staten Island, NY 10314 | Community/Retail Pharmacy | 2006-08-30 |
| Care Neurodegenerative Medical of New York PC | 191 Utter Ave, Staten Island, NY 10314 | Neurology Physician | 2023-08-04 |
| Sandeep Kang | 11 Mountainview Avenue, Staten Island, NY 10314 | Registered Nurse | 2016-04-01 |
| Temitope Oluwatosin Popoola | 47 Cooke St, Staten Island, NY 10314-1408 | Registered Nurse | 2011-08-03 |
| Shoprite Pharmacy 108 | 985 Richmond Ave, Staten Island, NY 10314-1501 | Pharmacy | 2006-08-20 |
| Matthew James Esposito | 1551 Richmond Ave, Staten Island, NY 10314-1520 | Pharmacist | 2026-01-08 |
| Duane Reade | Duane Reade, 3283 Richmont Ave, Staten Island, NY 10314 | Pharmacy | 2006-07-14 |
| Cda Medical, PLLC | 774 Manor Rd, Suite 204, Staten Island, NY 10314 | Community Health Worker | 2026-01-15 |
| Global Health Pharmacy Corp | 1424 Richmond Avenue, Staten Island, NY 10314-1527 | Durable Medical Equipment & Medical Supplies | 2012-12-03 |
| Anthony James Deluca | 2295 Victory Blvd, Staten Island, NY 10314 | Mental Health Counselor | 2006-09-06 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Vivian Louise Goldberg · Vivian Louise Franco | 1400 Nw 12th Ave, Miami, FL 33136-1003 | Certified Registered Nurse Anesthetist | 2011-12-14 |
| Vivian Tejera · Vivian Lacy | 12025 115th Ave Ne Ste 200, Kirkland, WA 98034-6935 | Clinical Social Worker | 2014-05-01 |
| Vernessa Vivian Brown · Vernessa Vivian Young | 2525 N Chester Ave, Bakersfield, CA 93308-1770 | Mental Health Counselor | 2024-03-26 |
| Vivian Chioma Ofuokwu-Tomovic · Vivian Ofuokwu | 2100 W 3rd St Ste 400, Los Angeles, CA 90057-2290 | Family Nurse Practitioner | 2025-11-24 |
| Sharita Vivian Crawford · Sharita Vivian Marshall | 140 Little Falls St Ste 206, Falls Church, VA 22046-4323 | School Social Worker | 2018-03-07 |
| Mary Willow Baker · Mary Willow Seaberry | 12881 N Ih 35, Live Oak, TX 78233-2966 | Nurse Practitioner | 2024-01-17 |
| Willow Hagan Tonozzi · Willow Michele Hagan | 2901 Falk Rd, Vancouver, WA 98661-6392 | Occupational Therapist | 2021-11-08 |
| Autumn Willow Ogunbamise · Autumn Willow Crofut | 110 Irving St Nw, Washington, DC 20010-3017 | Family Nurse Practitioner | 2016-05-03 |
| Vasiliki Vivian Dimas · Vasiliki Vivian Chrysanthakoupoulos | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | Pediatric Cardiology Physician | 2006-07-08 |
| Vivian A. Kelley · Vivian A. Bruce | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | Family Nurse Practitioner | 2007-01-03 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |