Active NPI
Kathleen Bachiochi, MS, CCC - SLP
- Speech-Language Pathologist
- Brookeville, MD
National Provider Identifier
1346495702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08920
- Practice address
- 2913 Vandever St
Brookeville, MD 20833-2638 - Phone
- (917) 536-0013
- NPI assigned
- Nov 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 58-017688 | NY | |
| Speech-Language Pathologist | 235Z00000X | 08920 | MD | Primary |
Addresses
Primary practice location
2913 Vandever St
Brookeville, MD 20833-2638
Mailing address
2913 Vandever St
Brookeville, MD 20833-2638
Phone (917) 536-0013
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08920 | MD | MD | Psychologist |
| 58-017688 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1346495702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 VANDEVER ST",
"city": "BROOKEVILLE",
"state": "MD",
"postal_code": "208332638",
"telephone_number": "917-536-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2913 VANDEVER ST",
"city": "BROOKEVILLE",
"state": "MD",
"postal_code": "208332638",
"telephone_number": "917-536-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHIOCHI",
"first_name": "KATHLEEN",
"credential": "MS, CCC - SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "58-017688",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookeville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.