Kacey Cheary

Individual provider Active NPI Speech-Language Pathologist · Escalon, CA

NPI 1083538409 · NPPES record last updated Aug 7, 2026

Key facts

NPI
1083538409
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
21516 (CA)
Practice address
1520 Yosemite Ave
Escalon, CA 95320-1796
Phone
(209) 838-3591
NPI assigned
Aug 7, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Escalon Unified School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 21516 CA Yes

Addresses

Primary practice location

1520 Yosemite Ave
Escalon, CA 95320-1796

Mailing address

1520 Yosemite Ave
Escalon, CA 95320-1796
Phone (209) 838-3591

Other providers in Escalon, CA

All providers in Escalon, CA · Speech-Language Pathologist in California

Sources for this page

Verify at the official NPI Registry.