Active NPI
Cariann Coward, PSYD
- Psychologist
- Syracuse, NY
National Provider Identifier
1376056846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 025986
- Practice address
- 713 Harrison Street
Syracuse, NY 13210 - Phone
- (315) 464-3149
- Fax
- (315) 464-3178
- NPI assigned
- Nov 7, 2017
- Reactivated
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 025986 | NY | Primary |
| Psychologist | 103T00000X |
Addresses
Primary practice location
713 Harrison Street
Syracuse, NY 13210
Mailing address
251 Salina Meadows Parkway
Suite 100
Syracuse, NY 13212
Phone (315) 464-2000
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 |
|---|---|---|---|
| 025986 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1376056846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SALINA MEADOWS PARKWAY",
"address_2": "SUITE 100",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13212",
"telephone_number": "315-464-2000",
"fax_number": "315-464-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 HARRISON STREET",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-3149",
"fax_number": "315-464-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWARD",
"first_name": "CARIANN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2024-02-15",
"certification_date": "2022-10-11",
"deactivation_date": "2018-02-28",
"reactivation_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "025986",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.