Benjamin H Palmer IV, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017094 Issued in NY

Practice address

6795 State Route 21
Almond, NY 14804-9716

Phone

(607) 276-6525

NPI assigned

Aug 15, 2008

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chemung-Schuyler Counties Chapter, Nysarc, Inc.

  dba Arc of Chemung-Schuyler

  • Developmental Disabilities Clinic/Center
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  • NPI 1174146401
  NPD (past)

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1679729123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6890 TWIN VALLEY TER",
            "city": "ALMOND",
            "state": "NY",
            "postal_code": "148049705",
            "telephone_number": "607-276-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 STATE ROUTE 21",
            "city": "ALMOND",
            "state": "NY",
            "postal_code": "148049716",
            "telephone_number": "607-276-6525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 OConnor St",
            "address_purpose": "LOCATION",
            "city": "Wellsville",
            "state": "NY",
            "postal_code": "148951055",
            "country_code": "US",
            "telephone_number": "585-593-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BENJAMIN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bordeaux, RN
• Diane L Davis
• Kimberly Mildred Guthrie, LMHC
• Kenyon Counseling LCSW PLLC
• Karleigh Ann Ormsby, R.N.
• Kara Taylor
• Rachel D Trudell
• Frank J Vaughan, ATC
• Anne Walsh
• Kelly Ann Wojtkowiak

• Speech-Language Pathologist in Almond, NY
• Providers in Almond, 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 Jul 15, 2019; 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.