Elizabeth Ittan, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1 Skyline Dr Ste 298
Hawthorne, NY 10532-2157

Phone

(914) 347-5990

NPI assigned

Aug 13, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidabilities LLC

  • Pediatric Occupational Therapist
  • Hawthorne, NY
  • NPI 1184898538

  Speech-Language Pathologist

  NPD (past)
• Kidabilities, LLC

  • Early Intervention Provider Agency
  • Hawthorne, NY
  • NPI 1639540545
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1417503756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SKYLINE DR STE 298",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322157",
            "telephone_number": "914-347-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SKYLINE DR STE 298",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322157",
            "telephone_number": "914-347-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITTAN",
        "first_name": "ELIZABETH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Care Medical PLLC (Neuroglee Health)
• Melissa Infantino, COTA/L
• Angela Iovine, RD
• Michael Ian Israel, D.M.D
• Henry J Issenberg, MD
• Sei Iwai, MD
• Gina M Izzi
• Andrea Jachero
• Jason Jacobson, MD
• Jeffrey Mica Jacobson, MD

• Speech-Language Pathologist in Hawthorne, NY
• Providers in Hawthorne, 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 Aug 13, 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.