Individual provider Active NPI

Carla Meadows, MS, CCC/SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1770839037
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0074201 Issued in NY
Practice address
483 Clermont Ave
3Rd FL
Brooklyn, NY 11238-2253
Phone
(718) 643-5300
Fax
(718) 643-0640
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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 0074201 NY Primary

Addresses

Primary practice location

483 Clermont Ave
3Rd FL
Brooklyn, NY 11238-2253

Mailing address

314 W 19TH St
Apt 2B
New York, NY 10011-3924
Phone (646) 546-8507

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
0074201NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
League School Past Accepting new patients
Carl Fenichel Community Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1770839037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W 19TH ST",
            "address_2": "APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113924",
            "telephone_number": "646-546-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CLERMONT AVE",
            "address_2": "3RD FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382253",
            "telephone_number": "718-643-5300",
            "fax_number": "718-643-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "CARLA",
        "name_prefix": "Ms.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0074201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.