Active NPI
Cassandra L. Pelletier, MA, CCC-SLP
- Speech-Language Pathologist
- Brewer, ME
National Provider Identifier
1871045542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2470
- Practice address
- 797 Wilson St Ste 2
Brewer, ME 04412-1003 - Phone
- (207) 947-8493
- Fax
- (207) 990-4819
- NPI assigned
- Oct 28, 2016
- Last updated
- Sep 12, 2023
- 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 | SP2470 | ME | Primary |
Addresses
Primary practice location
797 Wilson St Ste 2
Brewer, ME 04412-1003
Mailing address
56 Starling Dr
Bangor, ME 04401-2779
Phone (207) 316-5180
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP2470 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1871045542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 STARLING DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012779",
"telephone_number": "207-316-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "797 WILSON ST STE 2",
"city": "BREWER",
"state": "ME",
"postal_code": "044121003",
"telephone_number": "207-947-8493",
"fax_number": "207-990-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETIER",
"first_name": "CASSANDRA",
"middle_name": "L.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-28",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP2470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewer, ME
- Sheila Karina Velasco Pascual, MD
- Yelena Patsiornik, MD
- Peak Performance Physical Therapy, LLC
- Heath D Peare, COTA/L
- Tiffany Pellerin, COTA
- Penobscot Community Health Center (Brewer High School Based Clinic)
- Penobscot Community Health Center (Brewer Medical Center Pharmacy)
- Penobscot Community Health Center (Pchcbmcdme)
- Penobscot Community Health Center (PCHC Walk In - Brewer)
- Penobscot Community Health Center (Brewer Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.