Julie Anne Carroll, MS-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021101 Issued in NY

Practice address

468 New York 17 a
Florida, NY 10921-1014

Phone

(845) 651-2251

NPI assigned

Aug 16, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Center Inc.

  • Early Intervention Provider Agency
  • Florida, NY
  • NPI 1396981734
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2011.

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1942589486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "FLORIDA",
            "state": "NY",
            "postal_code": "109210195",
            "telephone_number": "845-651-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 NEW YORK 17 A",
            "city": "FLORIDA",
            "state": "NY",
            "postal_code": "109211014",
            "telephone_number": "845-651-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "MS-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Anne McLean Counseling
• Katerina Bremer
• Camille Angela Brygidyr, MS
• Clare Patrice Buchalski, M.S.
• Krista Lynn Cameron, MA, CCC-SLP
• Susan Parsaons Carsley, MS ED
• April Beth Castellano
• Debra Lynn Charette-Ierardi
• Miriame Charles
• Kelsey Cole, MS, OTR/L

• All providers in Florida, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.