=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285540328
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AINSLEY NAGLE ZAIK
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2026
-----------------------------------------------------
Last Update Date | 08/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1450 EAST ST STE 6
-----------------------------------------------------
City | PITTSFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01201-5372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-441-2484
-----------------------------------------------------
Fax | 413-200-6041
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 66 SCHMIDT RD
-----------------------------------------------------
City | GHENT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12075-2513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-821-6826
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | SLP102221
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------