Individual provider Active NPI

Katherine Saideh Santana, M.S, CCC-SLP-BE

  • Speech-Language Pathologist
  • Harrison, NY
National Provider Identifier
1942773932
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
031630-01 Issued in NY
Practice address
71 Park Ave
Harrison, NY 10528-4435
Phone
(718) 413-3857
NPI assigned
Jan 2, 2019
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NY
Speech-Language Pathologist 235Z00000X 031630-01 NY Primary

Addresses

Primary practice location

71 Park Ave
Harrison, NY 10528-4435

Mailing address

71 Park Ave
Harrison, NY 10528-4435
Phone (718) 413-3857

Other practice location 1

1401 Astoria Blvd
Long Island City, NY 11102-3729
Phone (516) 554-0591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241125000068 NY Practitioner - Qualified Speech Language Pathologist 4688109911 Reassigns benefits to 1 organization
I20241126003037 MD Practitioner - Qualified Speech Language Pathologist 4688109911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
031630NYMDPharmacist
031630-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Dec 2, 2024 Accepting new patients

Locations

1997 Annapolis Exchange Pkwy
Ste 300
Annapolis, MD 21401
Phone (410) 261-6439

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1942773932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PARK AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284435",
            "telephone_number": "718-413-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PARK AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284435",
            "telephone_number": "718-413-3857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Astoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111023729",
            "country_code": "US",
            "telephone_number": "516-554-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "KATHERINE",
        "middle_name": "SAIDEH",
        "name_prefix": "Ms.",
        "credential": "M.S, CCC-SLP-BE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031630-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.