Individual provider Active NPI

Jamie L Carnevale, SLP

  • Speech-Language Pathologist
  • Hastings on Hudson, NY
National Provider Identifier
1215456819
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023947 Issued in NY
Practice address
1 S Broadway
Hastings on Hudson, NY 10706-3800
Phone
(914) 478-1106
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 023947 NY Primary

Addresses

Primary practice location

1 S Broadway
Hastings on Hudson, NY 10706-3800

Mailing address

1 S Broadway
Hastings on Hudson, NY 10706-3800
Phone (914) 478-1106

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
023947NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenburgh Graham Ufsd Speech-Language Pathologist CurrentSince Jul 24, 2022 Accepting new patients

Locations

1 S Broadway
Hastings on Hudson, NY 10706
Phone (914) 478-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215456819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S BROADWAY",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063800",
            "telephone_number": "914-478-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S BROADWAY",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063800",
            "telephone_number": "914-478-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEVALE",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.