Caitlin Anne Mancuso, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023229-1 Issued in NY

Practice address

99 Hollywood Dr
Smithtown, NY 11787-3135

Phone

(631) 366-5868

NPI assigned

Sep 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Caitlin Anne McSweeney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• East End Kids Psy, SLP, OT & PT Serv. PLLC

  • Counseling Psychologist
  • Southampton, NY
  • NPI 1518256619
  NPD (past)
• East End Kids Therapy, Inc.

  • Home Health Agency
  • Southampton, NY
  • NPI 1265562979
  NPD (past)

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073895579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SOMERSET RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HOLLYWOOD DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873135",
            "telephone_number": "631-366-5868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 N. Sea Road",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "11968",
            "country_code": "US",
            "telephone_number": "631-831-7087",
            "fax_number": "631-267-2950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 N. Sea Road",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "11968",
            "country_code": "US",
            "telephone_number": "631-831-7087",
            "fax_number": "631-267-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "CAITLIN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MCSWEENEY",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Malefato
• Audra Marie Malerba, D.O.
• Chelsey Ryan Malhas, MD
• Abhay Malhotra, M.D.
• Maureen Ann Malone, ANP-C
• Nya Mercedes Manesis, MA
• Christoforos Manessis
• Janice C Mangino
• Enrico S Mango, MD
• Manhattan Medical Practice PC

• Speech-Language Pathologist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.