Raquel Ayn Stark, M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009875-1 Issued in NY

Practice address

25 Liberty St
Batavia, NY 14020-3246

Phone

(585) 343-1840

Fax

(585) 343-2185

NPI assigned

Sep 26, 2008

Sex

Female

Sole proprietor

No

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 Arts

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1629228671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 TRISTAN LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214438",
            "telephone_number": "716-626-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LIBERTY ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203246",
            "telephone_number": "585-343-1840",
            "fax_number": "585-343-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "RAQUEL",
        "middle_name": "AYN",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009875-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Lee St.Clair
• David Stachowski, M.S.
• Tammy Lynn Stafford, MSW
• Michele Anne Stamp, PT
• Stanley Ambis MD PLLC
• State of New York
• State of New York
• State of New York Comptrollers Office
• Sydnie Ann Stauffer, OTR
• Cecilia Ann Stearns, CNM/NP

• Speech-Language Pathologist in Batavia, NY
• Providers in Batavia, 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 Sep 26, 2008; 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.