Katherine T Divalerio, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146011212 Issued in IL

Practice address

289 Wagner Rd
Northfield, IL 60093-3248

Phone

(773) 350-9229

NPI assigned

Jun 2, 2011

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Level Up Pediatric Speech Therapy, LLC

  • Speech-Language Pathologist
  • Northfield, IL
  • NPI 1437558954
  NPD (past) Authorized official

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1144514613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WAGNER RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933248",
            "telephone_number": "773-350-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WAGNER RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933248",
            "telephone_number": "773-350-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVALERIO",
        "first_name": "KATHERINE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Denman
• Lisa M. Di Lorenzo, LCSW
• Erick Diaz
• Nicolette Dicosola, MA
• Dignity Homeservices
• Doherty Nutrition
• Daniel Domoleczny, L.AC.
• Monica F Donnelly, LPC
• Faydra Shantel Dopek
• Elana R Dor, LSW, LCSW, TYPE 73

• Speech-Language Pathologist in Northfield, IL
• Providers in Northfield, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.