Individual provider Active NPI

Cassandra Leigh Petriello, M.A. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Sound Beach, NY
National Provider Identifier
1861027062
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
117 Lookout Dr
Sound Beach, NY 11789-1957
Phone
(631) 560-9034
NPI assigned
Mar 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NY Primary

Addresses

Primary practice location

117 Lookout Dr
Sound Beach, NY 11789-1957

Mailing address

PO Box 12
Middle Island, NY 11953-0012
Phone (631) 560-9034

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Back Talk Speech Therapy, PLLC CurrentSince Apr 10, 2022 Accepting new patients
Andrea E Nomberg Physician PC CurrentSince Oct 1, 2021 Accepting new patients
Well-Rounded Speech and Feeding Therapy PLLC Speech-Language Pathologist Current Accepting new patients
Theralympic Speech Therapy PLLC Speech-Language Pathologist CurrentSince May 26, 2024 Accepting new patients

Locations

400 S Oyster Bay Rd
Ste 102
Hicksville, NY 11801
Phone (516) 595-7550

2330 Union Blvd
Islip, NY 11751
Phone (631) 224-4200

622 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579

624 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579

Organizations & group practices 4

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": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1861027062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119530012",
            "telephone_number": "631-560-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LOOKOUT DR",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117891957",
            "telephone_number": "631-560-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIELLO",
        "first_name": "CASSANDRA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sound Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.