Active NPI
Kathleen Perras, CCC-SLP/L
- Speech-Language Pathologist
- Malone, NY
National Provider Identifier
1851600910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016209
- Practice address
- 72 Huskie LN.
Malone, NY 12953 - Phone
- (518) 483-7800
- NPI assigned
- Oct 6, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 016209 | NY | Primary |
Addresses
Primary practice location
72 Huskie LN.
Malone, NY 12953
Mailing address
26 3Rd St
Malone, NY 12953-1332
Phone (518) 483-5052
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 |
|---|---|---|---|
| 016209 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1851600910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 3RD ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531332",
"telephone_number": "518-483-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 HUSKIE LN.",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-483-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRAS",
"first_name": "KATHLEEN",
"credential": "CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-06",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.