Organization Active NPI

K.D. Speech Pathology, PC

  • Speech-Language Pathologist
  • Mount Vernon, NY
National Provider Identifier
1528574654
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010385 Issued in NY
Legal business name
K.D. SPEECH PATHOLOGY, PC
Practice address
546 Westchester Ave
Mount Vernon, NY 10552-1037
Phone
(914) 393-7939
NPI assigned
Dec 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Kathryn M. Dwyer, SLP
Title
President
Phone
(914) 393-7939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 010385 NY Primary

Addresses

Primary practice location

546 Westchester Ave
Mount Vernon, NY 10552-1037

Mailing address

546 Westchester Ave
Mount Vernon, NY 10552-1037
Phone (914) 393-7939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1528574654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 WESTCHESTER AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521037",
            "telephone_number": "914-393-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WESTCHESTER AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521037",
            "telephone_number": "914-393-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.D. SPEECH PATHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-393-7939",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.