Active NPI
Courtney A Carberry, SLP
- Speech-Language Pathologist
- Meriden, CT
National Provider Identifier
1255649562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 006819
- Practice address
- 435 Lewis Ave
Meriden, CT 06451-2101 - Phone
- (855) 255-6181
- NPI assigned
- Sep 21, 2010
- Last updated
- Dec 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 006819 | CT | Primary |
Addresses
Primary practice location
435 Lewis Ave
Meriden, CT 06451-2101
Mailing address
69 Harkness Dr
Madison, CT 06443-1838
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006819 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733616000000",
"number": "1255649562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 HARKNESS DR",
"city": "MADISON",
"state": "CT",
"postal_code": "064431838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 LEWIS AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512101",
"telephone_number": "855-255-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBERRY",
"first_name": "COURTNEY",
"middle_name": "A",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2024-12-08",
"certification_date": "2024-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "006819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.