Caryn J. Gluick, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018519 Issued in NY

Practice address

170 Windward CT S
Port Jefferson, NY 11777-2326

Phone

(631) 707-5890

NPI assigned

May 25, 2009

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

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Caryn Gluick Ma SLP PLLC

  • Speech-Language Pathologist
  • Mount Sinai, NY
  • NPI 1093431991
  Medicare reassignment NPD Authorized official
• Mary Anderson LCSW PC

  • Clinical Social Worker
  • Bayport, NY
  • NPI 1508955022
  NPD (past)

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1588899280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WINDWARD CT S",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772326",
            "telephone_number": "631-707-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WINDWARD CT S",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772326",
            "telephone_number": "631-707-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUICK",
        "first_name": "CARYN",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-25",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dawn Giraulo, RD
• Kerry Eileen Gitto, OTRL
• Dina Giulietti
• Morton L Glaser, MD
• Glen Haven Residential Healthcare Fac. Inc
• Darwin Glynn, MD
• Maureen Godfrey
• Yigit Ali Gol, DDS
• Nicole Golbari
• Lauren Beth Goldstein, MS, CCC, SLP

• Speech-Language Pathologist in Port Jefferson, NY
• Providers in Port Jefferson, 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 Jan 26, 2011; 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.