Individual provider Active NPI

Susan Elizabeth Haas, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Apalachin, NY
National Provider Identifier
1992006118
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012921 Issued in NY
Practice address
40 Glann Road
Apalachin, NY 13732
Phone
(607) 757-2366
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 012921 NY Primary

Addresses

Primary practice location

40 Glann Road
Apalachin, NY 13732

Mailing address

40 Glann Road
Tioga Hills Elementary School
Apalachin, NY 13732

Other practice location 1

600 S Benita Blvd
Vestal, NY 13850-2675
Phone (607) 757-2311

Other names 1

  • Mrs. Susan Elizabeth Haas Wurth Other name

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1992006118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GLANN ROAD",
            "address_2": "TIOGA HILLS ELEMENTARY SCHOOL",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "13732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GLANN ROAD",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "13732",
            "telephone_number": "607-757-2366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Benita Blvd",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138502675",
            "country_code": "US",
            "telephone_number": "607-757-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WURTH",
            "middle_name": "ELIZABETH HAAS",
            "prefix": "MRS.",
            "credential": "M.S., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apalachin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.