Individual provider Active NPI

Meagan Elizabeth Riccardi, MS, CCC-SLP

  • Speech-Language Pathologist
  • Amsterdam, NY
National Provider Identifier
1467521559
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016506-1 Issued in NY
Practice address
43 Liberty Drive
Amsterdam, NY 12010
Phone
(518) 954-2017
NPI assigned
Nov 6, 2006
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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 016506-1 NY Primary

Addresses

Primary practice location

43 Liberty Drive
Amsterdam, NY 12010

Mailing address

1313 Cypriana Ter
Rotterdam, NY 12306-2553
Phone (518) 265-8012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160816001948 NY Practitioner - Qualified Speech Language Pathologist 6406140391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc Montgomery County Chapter LibertyGroup PAC ID 1557651411, 12 clinicians

Practice addresses (Care Compare)

43 Liberty Dr
Amsterdam, NY 12010-5635

47 Liberty Dr
Amsterdam, NY 12010-5635
Phone (518) 842-5080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016506NYMDClinical Child & Adolescent Psychologist
016506-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Dimensions in Living Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meagancollinsslp@synergytherapeutic.medentdirect.com

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1467521559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 CYPRIANA TER",
            "city": "ROTTERDAM",
            "state": "NY",
            "postal_code": "123062553",
            "telephone_number": "518-265-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LIBERTY DRIVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-954-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCARDI",
        "first_name": "MEAGAN",
        "middle_name": "ELIZABETH",
        "credential": "MS,   CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016506-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.