Individual provider Active NPI

Carolyn Ann Galati, MA-CCC

  • Speech-Language Pathologist
  • Amsterdam, NY
National Provider Identifier
1770853764
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013526 Issued in NY
Practice address
1870 County Highway 107
Amsterdam, NY 12010-6215
Phone
(518) 954-2750
Fax
(518) 954-2759
NPI assigned
Jan 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 013526 NY Primary

Addresses

Primary practice location

1870 County Highway 107
Amsterdam, NY 12010-6215

Mailing address

20 Pine St
Broadalbin, NY 12025-3128
Phone (518) 954-2500

Other identifiers 3

IdentifierTypeStateIssuer
251300000XOtherNYBROADALBIN PERTH TAXONOMY #
01414337MedicaidNY
1538212907OtherNYBROADALBIN PERTH CSD NPI #

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

State licenses

LicenseStateTypeSpecialty
013526NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Broadalbin-Perth Central School District Past Accepting new patients

Organizations & group practices 1

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": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1770853764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PINE ST",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120253128",
            "telephone_number": "518-954-2500",
            "fax_number": "518-954-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 COUNTY HIGHWAY 107",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120106215",
            "telephone_number": "518-954-2750",
            "fax_number": "518-954-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALATI",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "MA-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BROADALBIN PERTH TAXONOMY #",
            "identifier": "251300000X",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01414337",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BROADALBIN PERTH CSD NPI #",
            "identifier": "1538212907",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.