Individual provider Active NPI

Jennifer D'Attilio, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Monterey, CA
National Provider Identifier
1376963611
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 13025 Issued in CA
Practice address
24600 Silver Cloud CT Ste 104
Monterey, CA 93940-6555
Phone
(831) 645-7900
Fax
(831) 645-7906
NPI assigned
Apr 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 13025 CA Primary

Addresses

Primary practice location

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

Mailing address

24600 Silver Cloud CT Ste 104
Monterey, CA 93940-6555
Phone (831) 645-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115002749 CA Practitioner - Qualified Speech Language Pathologist 0446546550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2001
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)

24600 Silver Cloud CT
Suite 104
Monterey, CA 93940-6555
Phone (831) 645-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13025CAMDPhysical Therapist
SP 13025CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Language and Learning Center CurrentSince Jul 26, 2007 Accepting new patients
Salud Para la Gente Past Accepting new patients

Locations

24600 Silver Cloud Ct
Ste 104
Monterey, CA 93940
Phone (831) 645-7900

Organizations & group practices 2

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1376963611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 SILVER CLOUD CT STE 104",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406555",
            "telephone_number": "831-645-7900",
            "fax_number": "831-645-7906"
        },
        {
            "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",
            "fax_number": "831-645-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ATTILIO",
        "first_name": "JENNIFER",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 13025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.