Active NPI
Catherine Canary, M.D.
- Developmental - Behavioral Pediatrics Physician
- Latham, NY
National Provider Identifier
1992774780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 174321
- Practice address
- 7B Johnson Rd
Latham, NY 12110-3003 - Phone
- (518) 782-7733
- Fax
- (518) 782-0800
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 174321 | NY | Primary |
Addresses
Primary practice location
7B Johnson Rd
Latham, NY 12110-3003
Mailing address
7B Johnson Rd
Latham, NY 12110-3003
Phone (518) 782-7733
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01607432 | Medicaid | NY | |
| 091112000034 | Other | NY | FIDELIS |
| 7425867 | Other | NY | AETNA |
| 143311 | Other | NY | GHI/HMO |
| PRC200204488 | Other | NY | CDPHP |
| 9042527 | Other | NY | MVP HEALTHCARE |
| 5125M1 | Other | NY | EMPIRE BC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174321 | NY | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1992774780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7B JOHNSON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103003",
"telephone_number": "518-782-7733",
"fax_number": "518-782-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7B JOHNSON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103003",
"telephone_number": "518-782-7733",
"fax_number": "518-782-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANARY",
"first_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NY",
"license": "174321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01607432",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "091112000034",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7425867",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "143311",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "PRC200204488",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "9042527",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "5125M1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.