Active NPI
Kelly Marie Sinclair Babcock, MA, CCC/SLP
- Speech-Language Pathologist
- Macedon, NY
National Provider Identifier
1053569236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 008144-1
- Practice address
- 1425 Willowdale Dr
Macedon, NY 14502-9105 - Phone
- (315) 538-8535
- NPI assigned
- Aug 30, 2008
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 008144-1 | NY | Primary |
Addresses
Primary practice location
1425 Willowdale Dr
Macedon, NY 14502-9105
Mailing address
1425 Willowdale Dr
Macedon, NY 14502-9105
Phone (315) 538-8535
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008144-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220054400000",
"number": "1053569236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 WILLOWDALE DR",
"city": "MACEDON",
"state": "NY",
"postal_code": "145029105",
"telephone_number": "315-538-8535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 WILLOWDALE DR",
"city": "MACEDON",
"state": "NY",
"postal_code": "145029105",
"telephone_number": "315-538-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR BABCOCK",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MA, CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-30",
"last_updated": "2008-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "008144-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macedon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.