Individual provider Active NPI

Kathleen Scotti, M.S. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Hauppauge, NY
National Provider Identifier
1003263609
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
027091 Issued in NY
Practice address
300 Wheeler Rd Ste 106
Hauppauge, NY 11788-4300
Phone
(516) 823-5875
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 027091 NY Primary

Addresses

Primary practice location

300 Wheeler Rd Ste 106
Hauppauge, NY 11788-4300

Mailing address

300 Wheeler Rd Ste 106
Hauppauge, NY 11788-4300
Phone (516) 823-5875

Other practice location 1

15050 14th Rd
Whitestone, NY 11357-2609
Phone (718) 767-0071

Other practice location 2

4 Highland Blvd
Lynbrook, NY 11563-1218
Phone (516) 823-5875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
027091NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1003263609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WHEELER RD STE 106",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884300",
            "telephone_number": "516-823-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WHEELER RD STE 106",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884300",
            "telephone_number": "516-823-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15050 14th Rd",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113572609",
            "country_code": "US",
            "telephone_number": "718-767-0071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115631218",
            "country_code": "US",
            "telephone_number": "516-823-5875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTTI",
        "first_name": "KATHLEEN",
        "credential": "M.S. CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.