Individual provider Active NPI

Cathryn Emily Dean, M.ED.

  • Speech-Language Pathologist
  • Roswell, GA
National Provider Identifier
1972288454
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET003855 Issued in GA
Practice address
1160 Grimes Bridge Rd Ste B
Roswell, GA 30075-3900
Phone
(470) 423-9477
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PCET003855 GA Primary

Addresses

Primary practice location

1160 Grimes Bridge Rd Ste B
Roswell, GA 30075-3900

Mailing address

1160 Grimes Bridge Rd Ste B
Roswell, GA 30075-3900
Phone (770) 539-0713

Other practice location 1

2151 Cedarcrest Rd
Acworth, GA 30101-6213
Phone (561) 801-3148

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 Education

State licenses

LicenseStateTypeSpecialty
PCET003855GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Paulding Speech Language Therapy LLC Speech-Language Pathologist PastSince Jun 1, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1972288454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 GRIMES BRIDGE RD STE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753900",
            "telephone_number": "770-539-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 GRIMES BRIDGE RD STE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753900",
            "telephone_number": "470-423-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 Cedarcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301016213",
            "country_code": "US",
            "telephone_number": "561-801-3148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "CATHRYN",
        "middle_name": "EMILY",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.