Cassandra McClenaghan, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14414609 Issued in CO

Practice address

2845 Broadway St Apt 201
Boulder, CO 80304-3552

Phone

(831) 224-3002

NPI assigned

Sep 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bespoke Speech Therapies Inc

  • Speech-Language Pathologist
  • Lafayette, CO
  • NPI 1528907904
  NPD Authorized official

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

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1043981350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BROADWAY ST APT 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 BROADWAY ST APT 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043552",
            "telephone_number": "831-224-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENAGHAN",
        "first_name": "CASSANDRA",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "14414609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "14414609",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Corey McCarty, D.O.
• Caroline S McCauley
• Carrie McCauley
• Jamie McCleary
• Roslyn McClelland
• Inge J McClory, P.A.
• Colleen Denise McCloskey, OT
• Sarah Annette McClung, LPCC
• Erin Colleen McClure, MA
• Mary McClure, P.T.

• Speech-Language Pathologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.