Individual provider Active NPI

Richard John Caragine, M.S,CCC-SLP

  • Speech-Language Pathologist
  • Poughquag, NY
National Provider Identifier
1144549858
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011877-1 Issued in NY
Practice address
96 Beyer Dr
Poughquag, NY 12570-5636
Phone
(845) 724-3467
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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 011877-1 NY Primary

Addresses

Primary practice location

96 Beyer Dr
Poughquag, NY 12570-5636

Mailing address

96 Beyer Dr
Poughquag, NY 12570-5636
Phone (845) 724-3467

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

LicenseStateTypeSpecialty
011877-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Volz & Amato 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.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1144549858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 BEYER DR",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705636",
            "telephone_number": "845-724-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 BEYER DR",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705636",
            "telephone_number": "845-724-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAGINE",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "M.S,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011877-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughquag, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.