Domenico Delucia Jr.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6719 Issued in CT

Practice address

10 Progress Dr Ste 2B
Shelton, CT 06484-6294

Phone

(475) 239-5512

Fax

(203) 405-1327

NPI assigned

May 14, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Speech Pathology Group LLC

  • Speech-Language Pathologist
  • Shelton, CT
  • NPI 1639555881
  NPD

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1124819750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PROGRESS DR STE 2B",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846294",
            "telephone_number": "475-239-5512",
            "fax_number": "203-405-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PROGRESS DR STE 2B",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846294",
            "telephone_number": "475-239-5512",
            "fax_number": "203-405-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCIA",
        "first_name": "DOMENICO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "6719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Deangelis
• Arthur Defrancisco
• Jennifer A Degirolomo, OTR
• Susan Deleon, LMFT
• Danielle Deluca, LPC
• Jennifer Demayo, NCC, LMHC, LPC
• Taylor Rose Denardo
• Dental Associates of Shelton, LLP
• David Depetris, BCBA, LBA, LABA
• Lauren Depetris, BCBA

• Speech-Language Pathologist in Shelton, CT
• Providers in Shelton, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.