Kimberly F McCaffrey, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011096-1 Issued in NY

Practice address

159 Montezuma Street
Lyons, NY 14489

Phone

(315) 946-7530

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Wayne County Action Program, Inc.

  • Community/Behavioral Health Agency
  • Lyons, NY
  • NPI 1588015432
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1306932645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MONTEZUMA ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891228",
            "telephone_number": "315-946-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MONTEZUMA STREET",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "14489",
            "telephone_number": "315-946-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFREY",
        "first_name": "KIMBERLY",
        "middle_name": "F",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011096-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "30-0213081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Mailoli
• Patrick M Maney, MSW
• Lynne Marie Maslyn, R.N.
• Joseph D Mattes, MSW
• Bradley Thomas Mayville
• Samantha McElligott, CASAC-T
• Marshall Philip McFarland, LMSW
• Patricia Marie McKinny, LICENSED MENTAL HEAL
• Quiana McMillan, LPN
• Kevin Meehan

• Speech-Language Pathologist in Lyons, NY
• Providers in Lyons, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.