Active NPI
Cathy Ellen Salciccia, MS CCC SLP
- Speech-Language Pathologist
- Gloucester, MA
National Provider Identifier
1891876330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3350
- Practice address
- 85 Eastern Avenue
Suite 212
Gloucester, MA 01930 - Phone
- (978) 282-8210
- Fax
- (978) 282-1144
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 9, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3350 | MA | Primary |
| Speech-Language Pathologist | 235Z00000X | SA2456 | FL | |
| Speech-Language Pathologist | 235Z00000X | 0699 | NH | |
| Speech-Language Pathologist | 235Z00000X | 0037171 | NY |
Addresses
Primary practice location
85 Eastern Avenue
Suite 212
Gloucester, MA 01930
Mailing address
PO Box 1633
Gloucester, MA 01931-1633
Phone (978) 282-9978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091008000456 | MA | Practitioner - Qualified Speech Language Pathologist | 0547306359 | Practice locations: Gloucester, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
85 Eastern Ave
Suite 212
Gloucester, MA 01930-6516
Phone (978) 282-8210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA2456 | FL | MD | Speech-Language Pathologist |
| 0699 | NH | MD | Speech-Language Pathologist |
| 0037171 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891876330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1633",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019311633",
"telephone_number": "978-282-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 EASTERN AVENUE",
"address_2": "SUITE 212",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "01930",
"telephone_number": "978-282-8210",
"fax_number": "978-282-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALCICCIA",
"first_name": "CATHY",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "3350",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA2456",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "0699",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0037171",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.