Individual provider Active NPI

Emily Sara Caracci, M.S. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Woodside, NY
National Provider Identifier
1902410145
Registry record updated Sep 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
031552 Issued in NY
Practice address
5425 Skillman Ave
Woodside, NY 11377-4243
Phone
(929) 208-4494
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Speech-Language Pathologist 235Z00000X 031552 NY Primary

Addresses

Primary practice location

5425 Skillman Ave
Woodside, NY 11377-4243

Mailing address

7925 214TH St
Oakland Gardens, NY 11364-3509
Phone (718) 736-4939

Other practice location 1

15050 14th Rd
Whitestone, NY 11357-2609
Phone (718) 767-0071

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

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1902410145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 214TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643509",
            "telephone_number": "718-736-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 SKILLMAN AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774243",
            "telephone_number": "929-208-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15050 14th Rd",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113572609",
            "country_code": "US",
            "telephone_number": "718-767-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARACCI",
        "first_name": "EMILY",
        "middle_name": "SARA",
        "credential": "M.S. CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; 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.