Carly Whiting Sieber, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.016085 Issued in IL

Practice address

10 W. Phillip Rd
Suite 108
Vernon Hills, IL 60061

Phone

(847) 275-4115

NPI assigned

Jul 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nicolette Komie & Associates LLC

  • Developmental Therapist
  • Northbrook, IL
  • NPI 1386464857
  NPD

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1003424847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 BUTTERNUT LANE",
            "city": "NORHTBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-275-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W. PHILLIP RD",
            "address_2": "SUITE 108",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-275-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBER",
        "first_name": "CARLY",
        "middle_name": "WHITING",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.016085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14305473",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Beth Sheldon, B.S., M.A.
• Monika Urban Shiba, PSY.D.
• Judith Michelle Shiffman, LCSW
• Kimberly Ann Shively
• Chloe Siccone
• Sienna Home Care, Inc.
• Sigma Humans PLLC
• Linda Joy Silber, OTR L
• Edwin K Simon, M.D.
• Kathleen Simonaitis

• Speech-Language Pathologist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.