Active NPI
Cettina L Chiarelli, MS-CCC-SLP
- Speech-Language Pathologist
- Brookhaven, GA
National Provider Identifier
1083059414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008524
- Practice address
- 1777 Northeast Expy NE Ste 120
Brookhaven, GA 30329 - Phone
- (404) 228-8558
- Fax
- (404) 228-8659
- NPI assigned
- Apr 29, 2013
- Last updated
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP008524 | GA | Primary |
Addresses
Primary practice location
1777 Northeast Expy NE Ste 120
Brookhaven, GA 30329
Mailing address
1777 Northeast Expy NE Ste 120
Brookhaven, GA 30329-2475
Phone (404) 228-8558
Other practice location 1
8403 57th Ave
Elmhurst, NY 11373-4833
Phone (718) 899-9060
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008524 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Therapy Applied Behavior Analysis, PLLC | Past | Accepting new patients | |
| Emilia's Kids | Past | Accepting new patients | |
| Propel Pediatric Therapy, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Brookhaven, GA
- NPI 1508557802
-
- Early Intervention Provider Agency
- Elmhurst, NY
- NPI 1295970150
-
- Behavior Analyst
- Elmhurst, NY
- NPI 1235098286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1083059414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 NORTHEAST EXPY NE STE 120",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303292475",
"telephone_number": "404-228-8558",
"fax_number": "404-228-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 NORTHEAST EXPY NE STE 120",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "30329",
"telephone_number": "404-228-8558",
"fax_number": "404-228-8659"
}
],
"practiceLocations": [
{
"address_1": "8403 57th Ave",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113734833",
"country_code": "US",
"telephone_number": "718-899-9060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIARELLI",
"first_name": "CETTINA",
"middle_name": "L",
"credential": "MS-CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-29",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.