Individual provider Active NPI

Michele Elise Kalotkin, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Palisades, NY
National Provider Identifier
1265684351
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010135 Issued in NY
Practice address
1 Scotti Ave
Palisades, NY 10964-1319
Phone
(845) 365-1205
NPI assigned
Oct 21, 2008
Last updated
Oct 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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 010135 NY Primary
Speech-Language Pathologist 235Z00000X 41YS00508300 NJ

Addresses

Primary practice location

1 Scotti Ave
Palisades, NY 10964-1319

Mailing address

1 Scotti Ave
Palisades, NY 10964-1319
Phone (845) 365-1205

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

LicenseStateTypeSpecialty
010135NYMDMental Health Counselor
41YS00508300NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Physical Therapy PLLC PastSince Jul 13, 2005 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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1265684351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCOTTI AVE",
            "city": "PALISADES",
            "state": "NY",
            "postal_code": "109641319",
            "telephone_number": "845-365-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCOTTI AVE",
            "city": "PALISADES",
            "state": "NY",
            "postal_code": "109641319",
            "telephone_number": "845-365-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOTKIN",
        "first_name": "MICHELE",
        "middle_name": "ELISE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010135",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00508300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.