Maxine Carrasco-Caba

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6143 Issued in CT

Practice address

1 Kennedy Ave Unit 1113
Danbury, CT 06810-5772

Phone

(917) 259-9407

NPI assigned

Jan 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1932673316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 HENRY HUDSON PKWY APT 5H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713865",
            "telephone_number": "917-259-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENNEDY AVE UNIT 1113",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105772",
            "telephone_number": "917-259-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO-CABA",
        "first_name": "MAXINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29957",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "6143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caringhearts2
• Vincent R Carlesi, M.D.
• Carlson Therapy Network
• Marianne Carlson, RPH
• Stacy L Carney, L.M.T.
• Aneesa Renee Carraway
• Christine Nguyen Carrera, MD
• Cassidy L Carroll
• Amanda Cartwright, LCSW
• Joseph Alexander Caruso, CADC

• Speech-Language Pathologist in Danbury, CT
• Providers in Danbury, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.