Individual provider Active NPI

Mary A. Carrigan-Peek, SLP

  • Speech-Language Pathologist
  • Schenectady, NY
National Provider Identifier
1104101146
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004929-1 Issued in NY
Practice address
2719 Hamburg St
Schenectady, NY 12303-3722
Phone
(518) 356-8400
Fax
(518) 356-8404
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004929-1 NY Primary

Addresses

Primary practice location

2719 Hamburg St
Schenectady, NY 12303-3722

Mailing address

2072 Curry Rd
Schenectady, NY 12303-4400
Phone (518) 356-8200

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
004929-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1104101146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 CURRY RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034400",
            "telephone_number": "518-356-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 HAMBURG ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123033722",
            "telephone_number": "518-356-8400",
            "fax_number": "518-356-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIGAN-PEEK",
        "first_name": "MARY",
        "middle_name": "A.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004929-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.