Individual provider Active NPI

Tara M Merla, CCC-SLP

  • Speech-Language Pathologist
  • Wilton, CT
National Provider Identifier
1174876684
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0221888 Issued in NY
Practice address
59 Danbury Rd
Wilton, CT 06897-4405
Phone
(203) 210-7124
Fax
(203) 210-7126
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0221888 NY Primary
Speech-Language Pathologist 235Z00000X 41YS00814100 NJ

Addresses

Primary practice location

59 Danbury Rd
Wilton, CT 06897-4405

Mailing address

239 N Middletown Rd
Apt a
Pearl River, NY 10965-1138
Phone (631) 662-6528

Other names 1

  • Tara Whelahan Former name

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

State licenses

LicenseStateTypeSpecialty
41YS00814100NJMDSpeech-Language Pathologist
0221888NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Playmates Behavior Analysis PastSince Sep 20, 2020 Accepting new patients
Connec-Totalk,LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1174876684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N MIDDLETOWN RD",
            "address_2": "APT A",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651138",
            "telephone_number": "631-662-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974405",
            "telephone_number": "203-210-7124",
            "fax_number": "203-210-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLA",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0221888",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00814100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "WHELAHAN",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.