Individual provider Active NPI

Cynthia Mitteager, M.S.ED., CCC-SLP

  • Speech-Language Pathologist
  • Cobleskill, NY
National Provider Identifier
1487083937
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022652-1 Issued in NY
Practice address
155 Washington Ave
Cobleskill, NY 12043-4704
Phone
(518) 234-4032
Fax
(518) 294-6425
NPI assigned
Nov 5, 2013
Last updated
Nov 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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 022652-1 NY Primary

Addresses

Primary practice location

155 Washington Ave
Cobleskill, NY 12043-4704

Mailing address

2133 County Highway 10
Laurens, NY 13796-1119
Phone (607) 434-6276

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
022652-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cobleskill-Richmondville Central School 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1487083937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 COUNTY HIGHWAY 10",
            "city": "LAURENS",
            "state": "NY",
            "postal_code": "137961119",
            "telephone_number": "607-434-6276",
            "fax_number": "518-294-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WASHINGTON AVE",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120434704",
            "telephone_number": "518-234-4032",
            "fax_number": "518-294-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTEAGER",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "M.S.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022652-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cobleskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.