Theresa Versaci

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146014764 Issued in IL

Practice address

525 Tyler Rd Ste Q1
St Charles, IL 60174-3360

Phone

(630) 444-0077

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1164906970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE Q1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743360",
            "telephone_number": "630-444-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE Q1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743360",
            "telephone_number": "630-444-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605062831",
            "country_code": "US",
            "telephone_number": "630-844-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERSACI",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242005015",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Vellender, BCBA
• Lekshmi R Venugopal, M.D.
• Pracedes Del Mundo Vergara, NP
• Rajan Verma, D.D.S.
• Pamela Renee Verner, MSW, LCSW
• Vertical Family Healthcare
• Vianova Psychology, PLLC
• Jeff T Victor, D.O.
• Abigail Vidal
• Nikko Gian Viejon

• Speech-Language Pathologist in St Charles, IL
• Providers in St Charles, 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 Jan 7, 2021; 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.