Individual provider Active NPI

Jacquelyn Cahill, SLP

  • Speech-Language Pathologist
  • Monsey, NY
National Provider Identifier
1447553490
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6565307 Issued in NY
Practice address
25 Robert Pitt Dr Ste 109
Monsey, NY 10952-3366
Phone
(845) 625-2810
Fax
(845) 625-0622
NPI assigned
Dec 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6565307 NY Primary

Addresses

Primary practice location

25 Robert Pitt Dr Ste 109
Monsey, NY 10952-3366

Mailing address

25 Robert Pitt Dr Ste 109
Monsey, NY 10952-3366
Phone (845) 625-2810

Other identifiers 1

IdentifierTypeStateIssuer
6565307OtherNYNEW YORK

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

State licenses

LicenseStateTypeSpecialty
6565307NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC Past Accepting new patients
B Stern Physical Therapy P.C. Past Accepting new patients

Organizations & group practices 2

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1447553490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROBERT PITT DR STE 109",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523366",
            "telephone_number": "845-625-2810",
            "fax_number": "845-625-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROBERT PITT DR STE 109",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523366",
            "telephone_number": "845-625-2810",
            "fax_number": "845-625-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "JACQUELYN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "6565307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK",
            "identifier": "6565307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.