Individual provider Active NPI

Kathleen Palatucci, MA CCC SLP

  • Speech-Language Pathologist
  • Bloomfield, NJ
National Provider Identifier
1316367501
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00331400 Issued in NJ
Practice address
1515 Broad St BLDG B
Bloomfield, NJ 07003-3002
Phone
(973) 655-7364
NPI assigned
Apr 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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 41YS00331400 NJ Primary

Addresses

Primary practice location

1515 Broad St BLDG B
Bloomfield, NJ 07003-3002

Mailing address

24 Franklin St
Verona, NJ 07044-2222
Phone (973) 857-7014

Other names 1

  • Kathy Horner Palatucci Professional name

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1316367501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANKLIN ST",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442222",
            "telephone_number": "973-857-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BROAD ST BLDG B",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033002",
            "telephone_number": "973-655-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALATUCCI",
        "first_name": "KATHLEEN",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-26",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00331400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "PALATUCCI",
            "middle_name": "HORNER",
            "credential": "41YS00331400",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.