Kyle David Delahanty, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6936 Issued in CT

Practice address

770 Saybrook Rd Unit B4
Middletown, CT 06457-4739

Phone

(860) 421-4052

NPI assigned

Aug 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Collaborative ABA Services, LLC

  • Clinical Social Worker
  • Middletown, CT
  • NPI 1427619626
  NPD

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1851817795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HILLCREST AVE",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575322",
            "telephone_number": "773-844-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SAYBROOK RD UNIT B4",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574739",
            "telephone_number": "860-421-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAHANTY",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "6936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Paul De Carli, PSYD
• Tasha Devi Debedin, OTR/L
• Barbara Dedman, A.P.R.N.
• Edwin Dejesus, LPC
• Edwin Raul Dejesus
• David John Delancey, CERTIFIED ADDICTIONS
• Stacey Ann Delisle, CRNA
• Danielle F Dell'Oso, OTR/L
• Sage Delucia
• Ronald Demakovsky, PHD

• Speech-Language Pathologist in Middletown, CT
• Providers in Middletown, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.