Active NPI
Catherine Stys
- Speech-Language Pathologist
- Melbourne, FL
National Provider Identifier
1619179645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA5486
- Practice address
- 3150 N Wickham Rd Ste 3
Melbourne, FL 32935-2322 - Phone
- (321) 536-0441
- NPI assigned
- Jun 1, 2007
- Last updated
- Jun 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | SA5486 | FL | Primary |
Addresses
Primary practice location
3150 N Wickham Rd Ste 3
Melbourne, FL 32935-2322
Mailing address
2563 Sykes Creek Dr
Merritt Island, FL 32953-2916
Phone (321) 536-0441
Other practice location 1
2563 Sykes Creek Dr
Merritt Island, FL 32953-2916
Phone (321) 536-0441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884851300 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA5486 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Speech & Feeding Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
3150 N Wickham Rd
Ste 3
Melbourne, FL 32935
Phone (321) 246-8939
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.
-
- Speech-Language Pathologist
- Melbourne, FL
- NPI 1992693824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1619179645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2563 SYKES CREEK DR",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329532916",
"telephone_number": "321-536-0441",
"fax_number": "321-504-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 N WICKHAM RD STE 3",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352322",
"telephone_number": "321-536-0441"
}
],
"practiceLocations": [
{
"address_1": "2563 Sykes Creek Dr",
"address_purpose": "LOCATION",
"city": "Merritt Island",
"state": "FL",
"postal_code": "329532916",
"country_code": "US",
"telephone_number": "321-536-0441",
"fax_number": "321-504-0955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STYS",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA5486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "884851300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.