Individual provider Active NPI

Katherine Salazar Bernstein, MS, BE-TSSLD,CCC-SLP

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1316586639
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
029478-01 Issued in NY
Practice address
800 Baychester Ave
Bronx, NY 10475-1702
Phone
(718) 904-5767
NPI assigned
Jan 3, 2020
Last updated
Jan 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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 029478-01 NY Primary

Addresses

Primary practice location

800 Baychester Ave
Bronx, NY 10475-1702

Mailing address

4720 Center Blvd PH 5
Long Island City, NY 11109-5649
Phone (917) 691-2017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240505000009 NY Practitioner - Qualified Speech Language Pathologist 4789024944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029478NYMDContractor
029478-01NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Health Medical PC CurrentSince Mar 27, 2024 Accepting new patients
Isaac Health, P.a. Speech-Language Pathologist PastSince Mar 27, 2024 Accepting new patients

Locations

222 Broadway
Unit 2135
New York, NY 10038

7 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 226-0118

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1316586639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 CENTER BLVD PH 5",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095649",
            "telephone_number": "917-691-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751702",
            "telephone_number": "718-904-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "KATHERINE",
        "middle_name": "SALAZAR",
        "name_prefix": "Mrs.",
        "credential": "MS, BE-TSSLD,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029478-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.