Active NPI
Casey Mulligan Walsh, MS, CCC-SLP
- Speech-Language Pathologist
- West Sand Lake, NY
National Provider Identifier
1396989448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009837-1
- Practice address
- 68 Valley Dr
West Sand Lake, NY 12196-1739 - Phone
- (518) 674-4114
- Fax
- (518) 279-0612
- NPI assigned
- Apr 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009837-1 | NY | Primary |
Addresses
Primary practice location
68 Valley Dr
West Sand Lake, NY 12196-1739
Mailing address
68 Valley Dr
West Sand Lake, NY 12196-1739
Phone (518) 674-4114
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 |
|---|---|---|---|
| 009837-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1396989448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 VALLEY DR",
"city": "WEST SAND LAKE",
"state": "NY",
"postal_code": "121961739",
"telephone_number": "518-674-4114",
"fax_number": "518-279-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 VALLEY DR",
"city": "WEST SAND LAKE",
"state": "NY",
"postal_code": "121961739",
"telephone_number": "518-674-4114",
"fax_number": "518-279-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "CASEY",
"middle_name": "MULLIGAN",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009837-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Sand Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.