Individual provider Active NPI

Cathy M Janelle, MS, CCC/SLP, LSLS

  • Speech-Language Pathologist
  • Falmouth, ME
National Provider Identifier
1093937013
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP855 Issued in ME
Practice address
4 Fundy Rd
Falmouth, ME 04105-1777
Phone
(207) 781-7199
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 SP855 ME Primary

Addresses

Primary practice location

4 Fundy Rd
Falmouth, ME 04105-1777

Mailing address

4 Fundy Rd
Falmouth, ME 04105-1777
Phone (207) 781-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000083 ME Practitioner - Qualified Speech Language Pathologist 4688844848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1093937013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051777",
            "telephone_number": "207-781-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051777",
            "telephone_number": "207-781-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANELLE",
        "first_name": "CATHY",
        "middle_name": "M",
        "credential": "MS, CCC/SLP, LSLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.