Kylee Marie Haller, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015102 Issued in PA

Practice address

1800 Lombard St FL 1
Philadelphia, PA 19146-1414

Phone

(215) 893-2500

Fax

(215) 893-2501

NPI assigned

Aug 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ, MN3 enrollments

Enrollment records 3

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carend Provider Group PAGroup PAC ID 2264827518, 26 clinicians

Carend Provider Group of New Jersey PCGroup PAC ID 4082082789, 13 clinicians

Elizabeth Ferluga, M.D., P.CGroup PAC ID 6608246194, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Carend Provider Group PA

  • Neurology Physician
  • Chicago, IL
  • NPI 1962161315

  MN, NJ, PA

  Medicare reassignment Care Compare group NPD
• Elizabeth Ferluga, M.D., P.C.

  • Neurology Physician
  • San Francisco, CA
  • NPI 1720703325

  MN

  Medicare reassignment Care Compare group NPD
• Carend Provider Group of New Jersey PC

  • Neurology Physician
  • Roseland, NJ
  • NPI 1891410494

  MN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1033729355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461414",
            "telephone_number": "215-893-2500",
            "fax_number": "215-893-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461414",
            "telephone_number": "215-893-2500",
            "fax_number": "215-893-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Gradyville Rd",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190732812",
            "country_code": "US",
            "telephone_number": "610-558-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Old York Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413098",
            "country_code": "US",
            "telephone_number": "215-456-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLER",
        "first_name": "KYLEE",
        "middle_name": "MARIE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikeeta Hallager, LPN
• Thomas Henry Hallam, PH.D.
• Daniel G Haller, MD
• Josephine Haller
• Julia A Haller, M.D.
• Regina Ann Halliday, CRNP
• Hallie M. Kushner, PH.D. P.C.
• Gregory Emmett Halligan, M.D.
• Caitlyn Hallihan
• Marygrace Hallinan

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.