Individual provider Active NPI

Hannah Caffentzis, M.S., CCC-SLP TSSLD

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1164106928
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
03291001 Issued in NY
Practice address
96 5TH Ave Apt 8a
New York, NY 10011-7613
Phone
(215) 589-4436
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 03291001 NY Primary

Addresses

Primary practice location

96 5TH Ave Apt 8a
New York, NY 10011-7613

Mailing address

96 5TH Ave Apt 8a
New York, NY 10011-7613
Phone (215) 589-4436

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
03291001NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1164106928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 5TH AVE APT 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117613",
            "telephone_number": "215-589-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 5TH AVE APT 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117613",
            "telephone_number": "215-589-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFENTZIS",
        "first_name": "HANNAH",
        "credential": "M.S., CCC-SLP TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "03291001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.