Individual provider Active NPI

Amy Lizabeth Caivano, MA,CCC-SLP

  • Speech-Language Pathologist
  • New City, NY
National Provider Identifier
1205088127
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0102811 Issued in NY
Practice address
20 Ardsley Dr
New City, NY 10956-4223
Phone
(845) 634-1098
Fax
(845) 634-1098
NPI assigned
Oct 22, 2008
Last updated
Oct 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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 0102811 NY Primary

Addresses

Primary practice location

20 Ardsley Dr
New City, NY 10956-4223

Mailing address

20 Ardsley Dr
New City, NY 10956-4223
Phone (845) 634-1098

Other names 1

  • Mrs. Amy Lizabeth Taub Former name

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

LicenseStateTypeSpecialty
0102811NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1205088127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ARDSLEY DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564223",
            "telephone_number": "845-634-1098",
            "fax_number": "845-634-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ARDSLEY DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564223",
            "telephone_number": "845-634-1098",
            "fax_number": "845-634-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIVANO",
        "first_name": "AMY",
        "middle_name": "LIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0102811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TAUB",
            "middle_name": "LIZABETH",
            "prefix": "MRS.",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.