Individual provider Active NPI

Carley H Castellano, CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1265818686
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14074 Issued in FL
Practice address
201 10TH Ave N Apt 204
Jacksonville, FL 32250-7264
Phone
(229) 942-5689
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP008230 GA
Early Intervention Provider Agency 252Y00000X SA14074 FL
Speech-Language Pathologist 235Z00000X SA14074 FL Primary

Addresses

Primary practice location

201 10TH Ave N Apt 204
Jacksonville, FL 32250-7264

Mailing address

1704 Frederica Rd Apt 504
St Simons Island, GA 31522-2560

Other practice location 1

1704 Frederica Rd Apt 504
St Simons Island, GA 31522-2560
Phone (229) 942-5689

Other practice location 2

5555 Glenridge Connector Ste 200
Atlanta, GA 30342-4815
Phone (512) 377-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220107000949 FL Practitioner - Qualified Speech Language Pathologist 9335530021 Reassigns benefits to 3 organizations
I20230621000747 GA Practitioner - Qualified Speech Language Pathologist 9335530021 Reassigns benefits to 1 organization
I20231127000851 NC Practitioner - Qualified Speech Language Pathologist 9335530021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (512) 399-0064

2530 Meridian Pkwy
Suite 300
Durham, NC 27713-5273
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP008230GAMDSpeech-Language Pathologist
SA14074FLMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
SPT KR LLC Speech-Language Pathologist CurrentSince Dec 1, 2021 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jun 26, 2023 Accepting new patients
QRM Plus Florida SLP LLC Speech-Language Pathologist CurrentSince May 1, 2022 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jun 26, 2023 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

200 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 544-1441

200 Clearwater Largo Rd S
Largo, FL 33770
Phone (727) 489-0857

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

5555 Glenridge Connector
Sandy Springs, GA 30342
Phone (202) 276-9478

5555 Glenridge Connector
Ste 200
Sandy Springs, GA 30342
Phone (404) 459-2516

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 4

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1265818686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 FREDERICA RD APT 504",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 10TH AVE N APT 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322507264",
            "telephone_number": "229-942-5689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Frederica Rd Apt 504",
            "address_purpose": "LOCATION",
            "city": "St Simons Island",
            "state": "GA",
            "postal_code": "315222560",
            "country_code": "US",
            "telephone_number": "229-942-5689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Glenridge Connector Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303424815",
            "country_code": "US",
            "telephone_number": "512-377-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "CARLEY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008230",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "SA14074",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.