Active NPI
Kaitlyn Barrett
- Early Intervention Provider Agency
- Washingtonville, NY
National Provider Identifier
1043625148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 015061
- Practice address
- 87 E Main St
Washingtonville, NY 10992-1279 - Phone
- (845) 678-3562
- NPI assigned
- Jun 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 015061 | NY | Primary |
Addresses
Primary practice location
87 E Main St
Washingtonville, NY 10992-1279
Mailing address
87 E Main St
Washingtonville, NY 10992-1279
Phone (845) 678-3562
Other names 1
- Mrs. Kaitlyn Pascarelli
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015061 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1043625148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 E MAIN ST",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109921279",
"telephone_number": "845-678-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 E MAIN ST",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109921279",
"telephone_number": "845-678-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "KAITLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "015061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "PASCARELLI",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Washingtonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.