Kathleen Fay, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002107-1 Issued in NY

Practice address

143 Foshay Ave
Pleasantville, NY 10570-3617

Phone

(914) 747-3669

NPI assigned

Sep 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1659622439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FOSHAY AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703617",
            "telephone_number": "914-747-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 FOSHAY AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703617",
            "telephone_number": "914-747-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "KATHLEEN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "002107-1",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "002107-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica A. Esteves
• Cusena Evans
• Tyler Fallon, PT
• Lara Fastman, LCSW
• Samuel Joseph Fasulo, PH.D.
• Melinda Ferraraccio
• Adrian Ferreira, MS PT
• Nicole M Fiore, P.T.
• Victor Tyrone Flack II
• Catherine Anne Flynn Vullo, SLP

• Speech-Language Pathologist in Pleasantville, NY
• Providers in Pleasantville, 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 Sep 20, 2012; 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.