Individual provider Active NPI

Carol Ann Fenton-McHale, MS. OTR/L

  • Environmental Modification Occupational Therapist
  • Yonkers, NY
National Provider Identifier
1053628685
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational TherapistTaxonomy code 225XE0001X
License
004055-1 Issued in NY
Practice address
127 S. Broadway
St. Joseph'S Med. Center, SBP, Stein Center
Yonkers, NY 10701-4080
Phone
(914) 378-7573
Fax
(914) 378-7453
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapist 225XE0001X 004055-1 NY Primary

Addresses

Primary practice location

127 S. Broadway
St. Joseph'S Med. Center, SBP, Stein Center
Yonkers, NY 10701-4080

Mailing address

185 Davis Ave
White Plains, NY 10605-2732
Phone (914) 287-0088

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

LicenseStateTypeSpecialty
004055-1NYMDEnvironmental Modification Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1053628685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 DAVIS AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052732",
            "telephone_number": "914-287-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S. BROADWAY",
            "address_2": "ST. JOSEPH'S MED. CENTER, SBP, STEIN CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014080",
            "telephone_number": "914-378-7573",
            "fax_number": "914-378-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON-MCHALE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NY",
            "license": "004055-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.