Active NPI
Madison Marie Merrill, M.S. ED.
- Speech-Language Pathologist
- Barneveld, NY
National Provider Identifier
1669307708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- P143520
- Practice address
- 10708 N Gage Rd
Barneveld, NY 13304-2527 - Phone
- (315) 724-6907
- NPI assigned
- Jun 17, 2026
- Last updated
- Jun 17, 2026
- 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 | P143520 | NY | Primary |
Addresses
Primary practice location
10708 N Gage Rd
Barneveld, NY 13304-2527
Mailing address
125 Business Park Dr
Utica, NY 13502-6305
Other practice location 1
1601 Armory Dr
Utica, NY 13501-5405
Phone (315) 724-6907
Other practice location 2
9440 Butler Rd
Sauquoit, NY 13456-2010
Phone (315) 724-6907
Other practice location 3
12592 Potato Hill Rd
Boonville, NY 13309-4840
Phone (315) 724-6907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P143520 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1669307708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BUSINESS PARK DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135026305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10708 N GAGE RD",
"city": "BARNEVELD",
"state": "NY",
"postal_code": "133042527",
"telephone_number": "315-724-6907"
}
],
"practiceLocations": [
{
"address_1": "1601 Armory Dr",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135015405",
"country_code": "US",
"telephone_number": "315-724-6907",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9440 Butler Rd",
"address_purpose": "LOCATION",
"city": "Sauquoit",
"state": "NY",
"postal_code": "134562010",
"country_code": "US",
"telephone_number": "315-724-6907",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12592 Potato Hill Rd",
"address_purpose": "LOCATION",
"city": "Boonville",
"state": "NY",
"postal_code": "133094840",
"country_code": "US",
"telephone_number": "315-724-6907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRILL",
"first_name": "MADISON",
"middle_name": "MARIE",
"credential": "M.S. ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-17",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "P143520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barneveld, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.