Individual provider Active NPI

Carolyn Kate Schofield, MA, CCC-SLP

  • Speech-Language Pathologist
  • Piffard, NY
National Provider Identifier
1821173360
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0108391 Issued in NY
Practice address
Telemedicine Services
4063 Retsof Rd
Piffard, NY 14533-1453
Phone
(585) 447-0453
NPI assigned
Oct 25, 2006
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 0108391 NY Primary

Addresses

Primary practice location

Telemedicine Services
4063 Retsof Rd
Piffard, NY 14533-1453

Mailing address

4063 Retsof Rd
Piffard, NY 14533-9767
Phone (585) 245-9726

Other practice location 1

400 North Main St
Wyoming County Community Hospital
Warsaw, NY 14569
Phone (585) 786-2233 ext. 4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220318000160 FL Practitioner - Qualified Speech Language Pathologist 1254726888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0108391NYMDSpeech-Language Pathologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1821173360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 RETSOF RD",
            "city": "PIFFARD",
            "state": "NY",
            "postal_code": "145339767",
            "telephone_number": "585-245-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TELEMEDICINE SERVICES",
            "address_2": "4063 RETSOF RD",
            "city": "PIFFARD",
            "state": "NY",
            "postal_code": "145331453",
            "telephone_number": "585-447-0453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 North Main St",
            "address_2": "Wyoming County Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NY",
            "postal_code": "14569",
            "country_code": "US",
            "telephone_number": "585-786-2233 x4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOFIELD",
        "first_name": "CAROLYN",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0108391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piffard, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.