Individual provider Active NPI

Madison Marie Merrill, M.S. ED.

  • Speech-Language Pathologist
  • Barneveld, NY
National Provider Identifier
1669307708
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
P143520 Issued in NY
Practice address
10708 N Gage Rd
Barneveld, NY 13304-2527
Phone
(315) 724-6907
NPI assigned
Jun 17, 2026
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P143520NYMDSpeech-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.

Verify at the official NPI Registry.