Katherine M. Bollin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004055--1 Issued in NY

Practice address

2072 Curry Rd
Mohonasen High School
Schenectady, NY 12303-4400

Phone

(518) 356-8343

Fax

(518) 356-8309

NPI assigned

Jun 22, 2010

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

Other names 1

• Ms. Katherine M. Pietkiewicz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1578884813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HAWTHORNE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032112",
            "telephone_number": "518-482-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 CURRY RD",
            "address_2": "MOHONASEN HIGH SCHOOL",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034400",
            "telephone_number": "518-356-8343",
            "fax_number": "518-356-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLIN",
        "first_name": "KATHERINE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004055--1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "PIETKIEWICZ",
            "middle_name": "M.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Bolding Jr.
• Patricia Bolek, RN
• Anne Bolen
• James M Boler, MD
• Lynn Eileen Boler, MD
• Sarah Bolognino, PHD
• Thomas Horatio Bolton, RPH
• Breanne Bond
• Bone Health Services, PLLC
• Tess Amanda Bone, PHARM. D.

• Speech-Language Pathologist in Schenectady, NY
• Providers in Schenectady, 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 Jun 22, 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.