Individual provider Active NPI

Catherine Marie Hadeshian, M.A., CCC-A, F-AAA

  • Audiologist
  • Tarrytown, NY
National Provider Identifier
1760653604
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001573-1 Issued in NY
Practice address
560 White Plains Rd - Suite 560
Enta
Tarrytown, NY 10591-5112
Phone
(914) 984-2534
Fax
(914) 358-0504
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001573-1 NY Primary

Addresses

Primary practice location

560 White Plains Rd - Suite 560
Enta
Tarrytown, NY 10591-5112

Mailing address

1200 Waters PL
Suite 110
Bronx, NY 10461-2728
Phone (718) 863-4366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000446 NY Practitioner - Qualified Audiologist 1052488715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001573-1NYMDRegistered Dietitian
001573NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates of Westchester, LLC Audiologist CurrentSince Apr 13, 2022 Accepting new patients

Locations

550 Mamaroneck Ave
Ste 407
Harrison, NY 10528
Phone (914) 949-0034

785 Mamaroneck Ave
Bldg 4
White Plains, NY 10605
Phone (914) 683-0016

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1760653604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE 110",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-863-4366",
            "fax_number": "718-863-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS RD - SUITE 560",
            "address_2": "ENTA",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915112",
            "telephone_number": "914-984-2534",
            "fax_number": "914-358-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADESHIAN",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A, F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001573-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.