Active NPI
Katy Lynn Lynch, M.A. CCC-SLP
- Speech-Language Pathologist
- East Setauket, NY
National Provider Identifier
1891170445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 14 Research Way
East Setauket, NY 11733-3453 - Phone
- (631) 331-6400
- NPI assigned
- Jul 24, 2015
- 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 | Primary |
Addresses
Primary practice location
14 Research Way
East Setauket, NY 11733-3453
Mailing address
3 Old Wood Rd
Stony Brook, NY 11790-1011
Phone (518) 810-4912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235200000X | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1891170445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OLD WOOD RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117901011",
"telephone_number": "518-810-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RESEARCH WAY",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333453",
"telephone_number": "631-331-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "KATY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235200000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.