Catherine Zaczek, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006074 Issued in CT

Practice address

600 Highland Ave
Middletown, CT 06457-5151

Phone

(860) 347-3315

NPI assigned

May 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1366189714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BRUSH MILL TRL",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414091",
            "telephone_number": "860-916-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575151",
            "telephone_number": "860-347-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACZEK",
        "first_name": "CATHERINE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "006074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT",
            "identifier": "006074",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION",
            "identifier": "14305930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Yergen, M.D.
• Robert A Yordan, MD
• Young Men's Christian Association of Northern Middlesex County, Inc.
• John Leonard Young, M.D.
• Penny B Young, APRN
• Kyleen Zaleski, LCSW
• Tiairani Zapata
• William H Zeidler, MD
• Douglas E Zelisko, M.D.
• Maria Marissa Tan Zemaitis, LPC

• Speech-Language Pathologist in Middletown, CT
• Providers in Middletown, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.