Kelsi Buccella, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL016221 Issued in PA

Practice address

3515 Dixon Ave
Bristol, PA 19007-2519

Phone

(646) 714-8556

NPI assigned

Oct 25, 2020

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

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.

• Kidology, Inc.

  • Early Intervention Provider Agency
  • Southampton, PA
  • NPI 1023424231

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1659970101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 DIXON AVE",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072519",
            "telephone_number": "646-714-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 DIXON AVE",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072519",
            "telephone_number": "646-714-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCELLA",
        "first_name": "KELSI",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP0003756",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inga A. Brockington, LCADC/ PASTORAL CARE
• Charles Edward Brodowski
• Alexandra Jillian Brown, MD
• Bryman Family Chiropractic
• Jon H Bryman, DC
• Bucks County Center for Independent Living
• Bucks County Family Care, P. C.
• Bucks County Mental Health Clinic, Inc.
• Bucks County Pain and Perioperative PLLC
• Bucks County Rescue Squad

• All providers in Bristol, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.