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Kaitlin Nicole Pranav , MA, CCC-SLP, TSSLD

Speech-Language Pathologist β€’ Patchogue, NY

Active NPI 1912465907 Individual Practitioner Female Practitioner
Practice location in NPPES

201 Sunrise Hwy W
Patchogue, NY 117721868

Call 6312892200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

201 Sunrise Hwy W

Patchogue, NY 117721868

Telephone 6312892200
Organization at the Same NPPES Address or Phone
Eastern Suffolk Boces Facility NPI 1073890091

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Whitestone, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Patchogue and New York

34 active clinicians are listed under Speech-Language Pathologist with a practice address in Patchogue, NY (24,885 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Patchogue

0% of these 34 clinicians have the CMS telehealth indicator.

5.9% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Secondary Practice Locations

15050 14th Rd

Whitestone, NY 113572609

Phone: 7187670071

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 19, 2021

Registered at 201 SUNRISE HWY W, PATCHOGUE, NY 117721868 (Tel: 6312892200)

πŸ“
Updated Business Mailing Address April 19, 2021

Registered at 201 SUNRISE HWY W, PATCHOGUE, NY 117721868 (Tel: 6312892200)

πŸ‘€
Provider Name / Credentials Updated April 19, 2021

Recorded as KAITLIN PRANAV, M.A., CCC-SLP, TSSLD

βœ…
NPI Profile Active March 08, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 08, 2019

Registered at 15050 14TH RD, WHITESTONE, NY 113572609 (Tel: 7187670071)

πŸ“
Business Mailing Address (Initial Record) March 08, 2019

Registered at 15050 14TH RD, WHITESTONE, NY 113572609 (Tel: 7187670071)

πŸ‘€
Provider Name / Credentials (Initial Record) March 08, 2019

Recorded as KAITLIN DICRISTOFARO, CF

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2019

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration March 08, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912465907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2019
Last Update: April 19, 2021
Sole Proprietor: Yes

Mailing Address

201 Sunrise Hwy W

Patchogue, NY 117721868

Phone: 6312892200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.