Active NPI
Kristin H. McKay, SLP
- Speech-Language Pathologist
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002069
- Practice address
- 105 Newtown Road a
Suite #5
Danbury, CT 06810 - Phone
- (203) 739-0765
- Fax
- (203) 739-0792
- NPI assigned
- Oct 6, 2008
- 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 | 002069 | CT | Primary |
Addresses
Primary practice location
105 Newtown Road a
Suite #5
Danbury, CT 06810
Mailing address
1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5258
Phone (203) 740-0020
Other practice location 1
33 Church Hill Rd
Newtown, CT 06470-1637
Phone (475) 828-0932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174774483 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Federal Rd
Brookfield, CT 06804-2505
Phone (203) 456-1010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2069 | CT | MD | Occupational Therapy Assistant |
| 002069 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Connecticut, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Carlson Therapy Network, PC | Past | Accepting new patients | |
| Carlson Therapy Network | Past | Accepting new patients |
Locations
3 Federal Rd
Brookfield, CT 06804
Phone (203) 456-1010
33 Church Hill Rd
Newtown, CT 06470
Phone (203) 426-1818
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
Organizations & group practices 3
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.
-
- Physical Therapist
- Old Greenwich, CT
- NPI 1265799365
Speech-Language Pathologist
-
- Hand Occupational Therapist
- Danbury, CT
- NPI 1790084390
-
- Physical Therapist
- New Milford, CT
- NPI 1114979226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1174774483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY",
"address_2": "STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "203-740-0020",
"fax_number": "203-775-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 NEWTOWN ROAD A",
"address_2": "SUITE #5",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-739-0765",
"fax_number": "203-739-0792"
}
],
"practiceLocations": [
{
"address_1": "33 Church Hill Rd",
"address_purpose": "LOCATION",
"city": "Newtown",
"state": "CT",
"postal_code": "064701637",
"country_code": "US",
"telephone_number": "475-828-0932",
"fax_number": "475-209-8054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAY",
"first_name": "KRISTIN",
"middle_name": "H.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-06",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "002069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174774483",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.