Individual provider Active NPI

Carisa Friel, MA, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Garden City, NY
National Provider Identifier
1891053237
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018807-1 Issued in NY
Practice address
1225 Franklin Ave
Suite 325
Garden City, NY 11530-1691
Phone
(516) 512-8905
Fax
(866) 541-7770
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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 018807-1 NY Primary

Addresses

Primary practice location

1225 Franklin Ave
Suite 325
Garden City, NY 11530-1691

Mailing address

111 S Carll Ave
Babylon, NY 11702-3402
Phone (631) 482-1565

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 Arts

State licenses

LicenseStateTypeSpecialty
018807-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1891053237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S CARLL AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023402",
            "telephone_number": "631-482-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FRANKLIN AVE",
            "address_2": "SUITE 325",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301691",
            "telephone_number": "516-512-8905",
            "fax_number": "866-541-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEL",
        "first_name": "CARISA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018807-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.