Kellly Ronco, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2999 Issued in ME

Practice address

5 Long LN Ste 2
Ellsworth, ME 04605-1734

Phone

(207) 460-0209

NPI assigned

Jan 29, 2025

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acadia Therapy Services LLC

  • Pediatric Occupational Therapist
  • Ellsworth, ME
  • NPI 1922592039
  NPD

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1124831557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LONG LN STE 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051734",
            "telephone_number": "207-460-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LONG LN STE 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051734",
            "telephone_number": "207-460-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCO",
        "first_name": "KELLLY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nya Riddle
• Rite Aid of Maine Inc (Rite Aid Pharmacy 03287)
• Robert and Mary's Place
• Nancy Ellen Roberts, PSY.D., PH.D.
• Janice Elizabeth Ronco, LCSW
• Spencer Alan Ross, DMD
• Gary Roy Germann, CRNA
• Megan Elizabeth Roy
• Barbara Royal, LADC
• John E Royal, D.D.S.

• Speech-Language Pathologist in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.