Active NPI
Colleen A Canas, MS CCC SLP
- Speech-Language Pathologist
- Cheshire, CT
National Provider Identifier
1023651627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003680
- Practice address
- 105 Mountain Rd
Cheshire, CT 06410-2634 - Phone
- (203) 213-1326
- NPI assigned
- Oct 26, 2019
- Last updated
- Oct 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003680 | CT | Primary |
Addresses
Primary practice location
105 Mountain Rd
Cheshire, CT 06410-2634
Mailing address
105 Mountain Rd
Cheshire, CT 06410-2634
Phone (203) 213-1326
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003680 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572048000000",
"number": "1023651627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MOUNTAIN RD",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102634",
"telephone_number": "203-213-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MOUNTAIN RD",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102634",
"telephone_number": "203-213-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAS",
"first_name": "COLLEEN",
"middle_name": "A",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-26",
"last_updated": "2019-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "003680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.