Kathleen Ann Marinelli, M.S., SLP ,CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004878-1 Issued in NY

Practice address

5225 Nesconset Hwy
Port Jefferson Station, NY 11776-2053

Phone

(631) 473-4284

NPI assigned

Oct 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1346576824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KENNETH AVE",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402903",
            "telephone_number": "631-848-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-473-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINELLI",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S., SLP ,CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004878-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Maiello-Buckley, NP
• Romeo Velasco Maloco Jr., OPTICIAN
• Debra Marie Mann, ANP
• Cara Marcy
• Suzette Mariano
• Danielle Marino IX
• Mark Lowenheim, MD PLLC
• Sheri Lynn Markey, RN
• Nicole Marmol
• Kathleen Marose, OTR/L

• Speech-Language Pathologist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 Mar 26, 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.