Active NPI
Caitlyn Caron, M.S, ED.
- Specialist
- Kingston, NY
National Provider Identifier
1134460470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 707230131
- Practice address
- 16 Lucas Ave Ste 201
Kingston, NY 12401-3708 - Phone
- (845) 514-2094
- NPI assigned
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Specialist | 174400000X | 707230131 | NY | Primary |
Addresses
Primary practice location
16 Lucas Ave Ste 201
Kingston, NY 12401-3708
Mailing address
25 Hansen Rd
Saugerties, NY 12477-4262
Phone (845) 430-0188
Other practice location 1
597 3rd Ave
Troy, NY 12182-2509
Phone (518) 233-0544
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 707230131 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital District Beginnings, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Troy, NY
- NPI 1013193192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1134460470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HANSEN RD",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124774262",
"telephone_number": "845-430-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 LUCAS AVE STE 201",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013708",
"telephone_number": "845-514-2094"
}
],
"practiceLocations": [
{
"address_1": "597 3rd Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121822509",
"country_code": "US",
"telephone_number": "518-233-0544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARON",
"first_name": "CAITLYN",
"credential": "M.S, ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "707230131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.