Cathy Ann Burtless, M.S., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58012720 Issued in NY

Practice address

99 Greeley Ave
Sayville, NY 11782-2300

Phone

(631) 244-6725

NPI assigned

Dec 19, 2011

Last updated

Dec 19, 2011By the provider in NPPES

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

Other identifiers 1

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1396014494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 5TH ST",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802420",
            "telephone_number": "631-584-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GREELEY AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822300",
            "telephone_number": "631-244-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTLESS",
        "first_name": "CATHY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58012720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "58012720",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bright Path NP in Psychiatry
• Kelly Ann Britt, MS, CCC-SLP
• Michael Brody, DDS
• Eileen Mary Brophy, SLP/CCC
• Michael Bryan
• Linda Ann Butelli, LCSW
• Amy Buyes, LCSW
• BV Sayville Operator, LLC (Brightview Sayville)
• Melissa Calandra, MS EDUCATION
• Cathleen Callahan

• Speech-Language Pathologist in Sayville, NY
• Providers in Sayville, 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 Dec 19, 2011; 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.