Renee Eileen Carbary, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

007837 Issued in NY

Practice address

96 W Gibson St
Canandaigua, NY 14424-1453

Phone

(585) 396-3930

NPI assigned

Sep 8, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1891076576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241050",
            "telephone_number": "585-394-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 W GIBSON ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241453",
            "telephone_number": "585-396-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBARY",
        "first_name": "RENEE",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "638141213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canandaigua Physical Therapy P.C.
• Canandaigua Smiles, LLC
• Canandaigua Trinity OB/GYN, PLLC
• Catherine Cantwell, M.D.
• Joseph Ellis Caravella
• Cynthia Carestio, LPN
• Joseph Paul Carlino, LCSW-R
• Derek John Carlson, RN
• Gail A Carpenter, LICSW
• Colleen Anne Carson, RNFA

• Speech-Language Pathologist in Canandaigua, NY
• Providers in Canandaigua, 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 Sep 8, 2011; 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.