Mariah Siciliano

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

CF6898 Issued in NM

Practice address

1170 Folly Rd
Charleston, SC 29412-4114

Phone

(843) 633-3266

NPI assigned

Sep 9, 2015

Sex

Female

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 SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Pattisons D R E a M Academy

  • Rehabilitation Clinic/Center
  • Charleston, SC
  • NPI 1861678534
  Medicare reassignment NPD
• Jumpstart, LLC

  • Behavior Analyst
  • Albuquerque, NM
  • NPI 1225206105

  Speech-Language Pathologist

  NPD (past)
• Jumpstart, LLC

  • Clinical Child & Adolescent Psychologist
  • Albuquerque, NM
  • NPI 1477386852
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1477921302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124114",
            "telephone_number": "843-633-3266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Washington St NE",
            "address_2": "Ste A1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871131846",
            "country_code": "US",
            "telephone_number": "505-828-2827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4811 Hardware Dr NE # 1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871092017",
            "country_code": "US",
            "telephone_number": "505-268-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF6898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Shumate, RN
• Nicholas Shungu, M.D.
• Madison A Shutler, DO
• Maryam Sibley
• Garrett Sicard, DPT
• Rachel Siciliano, PHD
• Najeeb Irtaza Siddique, MD
• Mitchell J Siegan, MD
• Libby Siegel
• Mark Joseph Siegel, M.D.

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.