Kaitlyn Conallen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

8403 57TH Ave
Elmhurst, NY 11373-4833

Phone

(718) 899-9060

Fax

(718) 899-9061

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Emilia's Kids

  • Early Intervention Provider Agency
  • Elmhurst, NY
  • NPI 1295970150
  NPD (past)
• Next Step Therapy Applied Behavior Analysis, PLLC

  • Behavior Analyst
  • Elmhurst, NY
  • NPI 1235098286
  NPD (past)

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1790393932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053475",
            "telephone_number": "215-817-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 57TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734833",
            "telephone_number": "718-899-9060",
            "fax_number": "718-899-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONALLEN",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kconallen@emiliaskids.com",
            "affiliation": "N",
            "endpointDescription": "Speech Therapy Agency",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Data/Treatment Information",
            "address_1": "8403 57th Ave",
            "city": "Elmhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113734833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glenda Colon, LMHC
• Community Physical Therapy of Long Island PC
• Complete OT and Ota Services PLLC
• Comprehensive Diagnostic Imaging Services P.C.
• Comprehensive OB & GYN Medical Services, PC
• Alexander Conant
• Elizabeth Conde, LMSW
• Cono M.Grasso, M.D.P.C. (Comprehensive Ophthalmology)
• Contemporary OB-GYN Health Care LLC
• Salvatore B Contorno, OTR/L

• Speech-Language Pathologist in Elmhurst, NY
• Providers in Elmhurst, 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 Jul 14, 2020; 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.