Shelley Kermeen Chilton, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00231900 Issued in NJ

Practice address

95 W Main St
Suite 18
Chester, NJ 07930-2487

Phone

(908) 879-7067

Fax

(908) 879-4117

NPI assigned

May 21, 2013

Last updated

May 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidtherapy - Chester, LLC

  • Multi-Specialty Clinic/Center
  • Chester, NJ
  • NPI 1235576281
  NPD (past) Authorized official
• Kidtherapy - Chester, LLC

  • Occupational Therapist
  • Chester, NJ
  • NPI 1659749349
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1407292121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W MAIN ST",
            "address_2": "SUITE 18",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302487",
            "telephone_number": "908-879-7067",
            "fax_number": "908-879-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W MAIN ST",
            "address_2": "SUITE 18",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302487",
            "telephone_number": "908-879-7067",
            "fax_number": "908-879-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILTON",
        "first_name": "SHELLEY",
        "middle_name": "KERMEEN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00231900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester Psychological Assessment & Therapy, LLC
• Chester Psychological Services, PA
• Chester Surgery Center Corp
• Chester Woods Family Dentistry, LLC
• Children's Dental Specialists
• Christine F. Petrat
• Justin Cianciotto, LCSW
• Joseph James Cillo, M.D.
• Sarah T. Clark
• Collaborative Therapy Network LLC

• Speech-Language Pathologist in Chester, NJ
• Providers in Chester, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.