SOUTHBURY AUDIOLOGY LLC (NPI# 1932575610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932575610 |
| Entity Type | Organization |
| Organization Name | SOUTHBURY AUDIOLOGY LLC |
| Other Organization Name | CATHLEEN A ALEX AUD LLC (SOLE MEMBER LLC) |
| Practice Address |
2 Pomperaug Office Park Suite 307 Southbury CT 06488-2288 |
| Practice Telephone | 2032648201 |
| Practice Fax Number | 2032648201 |
| Mailing Telephone | 2032648201 |
| Mailing Fax Number | 2032648201 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-04-25 |
| Authorized Official Name | DR. CATHLEEN ANNE ALEX (SOLE MEMBER OWNER LLC) |
| Authorized Official Telephone | 2032648201 |
| Authorized Official Credential | AUD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
109 | CT | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
109 | CT | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 109 | CT | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | 109 | CT | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 4048674 | 05 | |
| CT | 4048864 | 05 | |
| CT | UNITED HEALTH CARE | 001376523-001 | 01 |
| CT | ANTHEM BCBS | 730000109CT01 | 01 |
| CT | OXFORD | P442727 | 01 |
| CT | AETNA | 0123218 | 01 |
| CT | CONNECTICARE | 724745 | 01 |
| Other Name | Type Code |
|---|---|
| Cathleen A Alex AuD LLC (Sole Member LLC) | Former Legal Business Name - Organization |
| Street Address |
2 POMPERAUG OFFICE PARK SUITE 307 |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556882 | Nancy Millian | Psychologist | 2 Pomperaug Office Park, Ste 206, Southbury, CT 06488-2291 | 2005-08-23 |
| 1801340450 | Christine Marie Cocchiola | Social Worker | 2 Pomperaug Office Park, Suite 206-a, Southbury, CT 06488-2288 | 2016-08-12 |
| 1578922290 | Ifc Counseling Services, LLC | Social Worker | 2 Pomperaug Office Park, Suite 206-c, Southbury, CT 06488-2288 | 2016-02-23 |
| 1740681089 | Brittany Lee Heninger | Physical Therapist | 2 Pomperaug Office Park, Suite 303, Southbury, CT 06488-2288 | 2014-09-05 |
| 1326380031 | Jennifer C. Zaharek | Physical Therapist | 2 Pomperaug Office Park, Suite 303, Southbury, CT 06488-2292 | 2013-03-20 |
| 1659628931 | Stephanie L. Bakewell | Audiologist | 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488 | 2012-08-06 |
| 1932466547 | Daniel R Brockett Phd LLC | Clinical Neuropsychologist | 2 Pomperaug Office Park, Suite 206d, Southbury, CT 06488-2288 | 2012-04-19 |
| 1972877686 | David E Miller | Physical Therapist | 2 Pomperaug Office Park, Suite 303, Southbury, CT 06488-2288 | 2012-02-27 |
| 1497035927 | Ruth Katherine Stoklosa | Physical Therapy Assistant | 2 Pomperaug Office Park, Suite 303, Southbury, CT 06488-2288 | 2011-08-29 |
| 1356507933 | Michelle Na | Dentist | 2 Pomperaug Office Park, Suite 304, Southbury, CT 06488-2288 | 2008-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
| 1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
| 1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
| 1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
| 1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
| 1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
| 1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
| 1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
| Find all providers in zip 06488 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659628931 | Stephanie L. Bakewell | Audiologist | 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488 | 2012-08-06 |
| 1710048111 | Cathleen Anne Alex | Audiologist | 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488-2288 | 2006-12-12 |
| 1801993464 | Linda Joyce D'alessio | Audiologist | 1 Pomperaug Office Park, Suite 204, Southbury, CT 06488-2295 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586641 | Natalie Silvia | Audiologist | 21 W Main St Fl 3, Waterbury, CT 06702-2013 | 2020-07-27 |
| 1598380404 | Michael Figueiredo | Audiologist | 72 Jones Hollow Rd, Marlborough, CT 06447-1141 | 2020-06-16 |
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1104465673 | Julia Davis | Audiologist | 911 State Street, State Street Health Services, New Haven, CT 06511-3929 | 2020-01-02 |
| 1295394484 | Amber Waitcus Pickett | Audiologist | 146 Hazard Ave Ste 204, Enfield, CT 06082-4566 | 2019-06-11 |
| 1336602226 | Shannon Marie O'loughlin | Audiologist | Crec-soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610 | 2019-04-09 |
| 1679050744 | Noelle Marie Delorme | Audiologist | U-1085 Bolton Road, Storrs, CT 06269-0001 | 2018-07-23 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1063905610 | Samantha N Hauser | Audiologist | 22 Tompkins St Ste 1, Waterbury, CT 06708-1496 | 2018-06-08 |
| 1821500703 | Abby Hill Smith | Audiologist | 2600 Post Rd Ste 2, Southport, CT 06890 | 2017-10-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.