Active NPI
Meagan Elizabeth Riccardi, MS, CCC-SLP
- Speech-Language Pathologist
- Amsterdam, NY
National Provider Identifier
1467521559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016506-1
- Practice address
- 43 Liberty Drive
Amsterdam, NY 12010 - Phone
- (518) 954-2017
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 6, 2016
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016506 | NY | MD | Clinical Child & Adolescent Psychologist |
| 016506-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Dimensions in Living Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Liberty Enterprises
- Multi-Specialty Clinic/Center
- Amsterdam, NY
- NPI 1376902734
-
dba New Dimensions in Health Care
- Multi-Specialty Clinic/Center
- Amsterdam, NY
- NPI 1982674917
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
- Maria Encarnacion Regal, DDS
- Hafeez Ur Rehman, M.D.
- Hamid Aziz Rehman, MD
- Patricia Reksc, MSED, CCC-SLP
- Julia Rhodes, FNP-BC
- Christine Anne Riccio, LCSW-R
- Barbara L Riede, F.N.P.
- Rite Aid of New York Inc (Rite Aid Pharmacy 03336)
- River Ridge Living Center, LLC (The Providers, Inc.)
- River Ridge Operating LLC
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.