Vanessa Carraccia, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

022717 Issued in NY

Practice address

641 Old Route 17
The Center for Discovery
Harris, NY 12742

Phone

(845) 794-1400

Fax

(845) 707-8857

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1508200023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 OLD ROUTE 17",
            "address_2": "THE CENTER FOR DISCOVERY",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "12742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 OLD ROUTE 17",
            "address_2": "THE CENTER FOR DISCOVERY",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "12742",
            "telephone_number": "845-794-1400",
            "fax_number": "845-707-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRACCIA",
        "first_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bliss, D.O.
• Michael Britton, FNP-BC
• Nicholas Eugene Brodyn, DO
• Marissa Christine Burns, MS, CCC-SLP
• Irvelyne Camille, MD
• Catskill Anesthesia Associates, LLP
• Catskill Physical Medicine & Rehabilitation, LLC (Catskill Rehabilitation & Sports Medicine)
• Catskill Regional Emergency Physician Service, PLLC
• Center for Discovery
• Adrian Cepeda

• Speech-Language Pathologist in Harris, NY
• Providers in Harris, 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 Apr 26, 2013; 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.