Kaitlyn M Crowley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

027613 Issued in NY

Practice address

100 Suffolk Ave
Stony Brook, NY 11790-1821

Phone

(631) 730-4000

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1245766195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MARVIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723808",
            "telephone_number": "631-357-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUFFOLK AVE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901821",
            "telephone_number": "631-730-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8866 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "NY",
            "postal_code": "113857857",
            "country_code": "US",
            "telephone_number": "718-850-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "KAITLYN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Cox Jr., MD
• Danielle Kristin Craigg, M.D.
• Steven Joseph Crescenti Jr., MD
• Patrick Crosby, MD
• Judith Crowell, M.D.
• Samuel Earl Crowley, MD
• Giuseppe Cruciata
• William Crugnola, MD
• Esau Cruz Gutierrez, DDS
• Micaela Lares Cruz, LMSW

• Speech-Language Pathologist in Stony Brook, NY
• Providers in Stony Brook, 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 Oct 22, 2019; 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.