Active NPI
Natasha Deabreu Sousa, MS., CCC-SLP
- Speech-Language Pathologist
- Shelton, CT
National Provider Identifier
1881168854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14256757
- Practice address
- 18 Center St Ste 104
Shelton, CT 06484-3104 - Phone
- (203) 513-8424
- Fax
- (203) 924-7866
- NPI assigned
- Jan 14, 2019
- Last updated
- Jan 14, 2019
- 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 | 14256757 | NU | Primary |
Addresses
Primary practice location
18 Center St Ste 104
Shelton, CT 06484-3104
Mailing address
77 Clark Hill Rd
Prospect, CT 06712-1044
Phone (774) 644-5836
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5575 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1881168854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 CLARK HILL RD",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121044",
"telephone_number": "774-644-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CENTER ST STE 104",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843104",
"telephone_number": "203-513-8424",
"fax_number": "203-924-7866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSA",
"first_name": "NATASHA",
"middle_name": "DEABREU",
"credential": "MS., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": "14256757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.