Active NPI
Layth Haddad, MA,CCC-SLP
- Speech-Language Pathologist
- Bloomfield, CT
National Provider Identifier
1447348792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 001830
- Practice address
- 701 Cottage Grove Rd
Suite E130
Bloomfield, CT 06002-3059 - Phone
- (860) 286-0838
- Fax
- (860) 286-0109
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 001830 | CT | Primary |
Addresses
Primary practice location
701 Cottage Grove Rd
Suite E130
Bloomfield, CT 06002-3059
Mailing address
701 Cottage Grove Rd
Suite E130
Bloomfield, CT 06002-3059
Phone (860) 286-0838
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001830 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Rehab, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447348792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 COTTAGE GROVE RD",
"address_2": "SUITE E130",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023059",
"telephone_number": "860-286-0838",
"fax_number": "860-286-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 COTTAGE GROVE RD",
"address_2": "SUITE E130",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023059",
"telephone_number": "860-286-0838",
"fax_number": "860-286-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "LAYTH",
"credential": "MA,CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "001830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.