Active NPI
Carolina Celeste Melcon, M.S. CCC-SLP
- Speech-Language Pathologist
- Florida City, FL
National Provider Identifier
1144518234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA13338
- Practice address
- 335 S Krome Avenue
Suite 104
Florida City, FL 33034 - Phone
- (305) 242-8122
- Fax
- (305) 242-8837
- NPI assigned
- Jul 11, 2011
- Last updated
- Jul 24, 2020
- 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 | SA13338 | FL | Primary |
Addresses
Primary practice location
335 S Krome Avenue
Suite 104
Florida City, FL 33034
Mailing address
335 S Krome Avenue
Suite 104
Florida City, FL 33034
Phone (305) 242-8122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010054900 | Medicaid | FL |
Other names 1
- Carolina Celeste Torres
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA13338 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GL & Associates Therapy Services, Inc | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Miami, FL
- NPI 1205271509
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1144518234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 S KROME AVENUE",
"address_2": "SUITE 104",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "33034",
"telephone_number": "305-242-8122",
"fax_number": "305-242-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 S KROME AVENUE",
"address_2": "SUITE 104",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "33034",
"telephone_number": "305-242-8122",
"fax_number": "305-242-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCON",
"first_name": "CAROLINA",
"middle_name": "CELESTE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA13338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010054900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINA",
"last_name": "TORRES",
"middle_name": "CELESTE",
"credential": "M.S. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Florida City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.