Tracy Ricca-Mullahey, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009763 Issued in NY

Practice address

500 White Pelican Cir
Vero Beach, FL 32963-9519

Phone

(516) 238-6259

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tracy Ann Ricca Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1205973765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LEFFERTS RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301734",
            "telephone_number": "516-294-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WHITE PELICAN CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329639519",
            "telephone_number": "516-238-6259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Lefferts Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115301734",
            "country_code": "US",
            "telephone_number": "516-294-9358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCA-MULLAHEY",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "RICCA",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Reynolds
• Timothy L. Reynolds, DDS
• Boris Reznikov, DO
• Ty Rheaume, PHARMD
• Rhoades Mobile Medical, Inc.
• Rosemary Zara Ricci, CRNA
• Victoria Rich, OTRL
• Richard a Pechter MD, PA
• Richard Anthony Franco MD PA
• Richard B Moore MD PA

• Speech-Language Pathologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.