Anthony D. Koutsoftas, PHD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013529 Issued in NY

Practice address

100 W 27TH St Apt 5S
New York, NY 10001-6239

Phone

(917) 612-9630

NPI assigned

May 24, 2007

Last updated

Jan 21, 2011By the provider in NPPES

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1831300581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 27TH ST APT 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016239",
            "telephone_number": "917-612-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 27TH ST APT 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016239",
            "telephone_number": "917-612-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTSOFTAS",
        "first_name": "ANTHONY",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "AZ5057",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalini Kourounis, PHYSICIAN ASSISTANT
• Ghazal Koushyar
• James Kousoulas, PH.D
• Jason A Koutcher, MD
• Nicole Eleanor Koutras, MS, OTR/L
• John Koutsoyiannis, D.D.S.
• Chrysoula Kouvaros, PHARM. D
• Talisa Kouyoumjian
• Remi Kouz, MD
• Alan Kouzmanoff, M.D.

• Speech-Language Pathologist in New York, NY
• Providers in New York, 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 Jan 21, 2011; 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.