Katelin Rose Carollo, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

34755 Issued in CA

Practice address

24600 Silver Cloud CT Ste 104
Monterey, CA 93940-6555

Phone

(831) 645-7900

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Central Coast Language and Learning CenterGroup PAC ID 4183910284, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Central Coast Language and Learning Center

  • Early Intervention Provider Agency
  • Monterey, CA
  • NPI 1356589022
  Medicare reassignment Care Compare group NPD
• Salud Para la Gente

  • Federally Qualified Health Center (FQHC)
  • Watsonville, CA
  • NPI 1629269618
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1184375883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 REDWOOD DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950032513",
            "telephone_number": "831-247-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 SILVER CLOUD CT STE 104",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406555",
            "telephone_number": "831-645-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLLO",
        "first_name": "KATELIN",
        "middle_name": "ROSE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-02-24",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16465",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmel Healthcare Anesthesia Medical Providers Inc
• Carmel Healthcare Anesthesia Medical Providers Inc
• Carmel Healthcare Anesthesia Medical Providers Inc
• Christina Diane Shamah Carmichael
• Gerald Carnazzo, M.D.
• Kaitlyn R Carpio
• Clarissa Diane Carrillo
• Jacob Carson
• Alyssa Marie Carter
• Erin KD Carter, FNP-C

• Speech-Language Pathologist in Monterey, CA
• Providers in Monterey, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.