Caleb Joseph Wilson, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010379 Issued in VA

Practice address

416 Albemarle SQ
Charlottesville, VA 22901-7400

Phone

(434) 220-0021

Fax

(434) 465-6843

NPI assigned

Dec 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, VA2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy at AcacGroup PAC ID 7214907211, 52 clinicians

Northern Colorado Therapy Services, LLCGroup PAC ID 2860703261, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Physical Therapy at Acac

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1205809506

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Northern Colorado Therapy Services, LLC

  • Speech-Language Pathologist
  • Fort Collins, CO
  • NPI 1154708824
  Medicare reassignment Care Compare group
• Physical Therapy at Acac

  • Occupational Therapist
  • Charlottesville, VA
  • NPI 1497474977

  Speech-Language Pathologist

  NPD
• Achieve Therapy LLC

  • Speech-Language Pathologist
  • Fort Collins, CO
  • NPI 1437670775
  NPD
• Alpine Therapy Services, LLC

  • Social Worker
  • Erie, CO
  • NPI 1790399194
  NPD

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1366089989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-465-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017400",
            "telephone_number": "434-220-0021",
            "fax_number": "434-465-6843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 E Prospect Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805259768",
            "country_code": "US",
            "telephone_number": "970-305-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CALEB",
        "middle_name": "JOSEPH",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010379",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0003776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Elisabeth Wilson, LCSW
• Ashley Wilson, M.D.
• Barbara B. Wilson, M.D.
• Brenda Louise Wilson, LCSW
• Bryan R Wilson, MD
• Carolyn S. Wilson, M.D.
• Chad B Wilson, P.A.
• Christi Wilson
• Corrie Wilson
• Jacquelyn N. Wilson, P.A.

• Speech-Language Pathologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.