Calli J McCullough, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ12317 Issued in FL

Practice address

1955 N Federal Hwy Unit 253
Pompano Beach, FL 33062-1036

Phone

(954) 580-2520

NPI assigned

Sep 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids Speech, Physical, and Occupational Therapy, Inc

  • Clinic/Center
  • Hollywood, FL
  • NPI 1154418135

  Speech-Language Pathologist

  NPD (past)
• Kids Speech,Physical, and Occupational Therapy, Inc

  • Clinic/Center
  • Pompano Beach, FL
  • NPI 1932480928

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1306663679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 N FEDERAL HWY APT 905",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 N FEDERAL HWY UNIT 253",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621036",
            "telephone_number": "954-580-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "CALLI",
        "middle_name": "J",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teanna Ann McCollin
• Karen A McCray, LMT
• Lashawn McCray
• Monica McCrea
• Shalona Porcha'E McCree
• Elsa McDaniel
• Olivia McDonald-Murray
• Camille A. McDonald-Toussaint, MD
• Reynae P McFarlane
• Jessica Lyndsey McGaha

• Speech-Language Pathologist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.