Caitlin McCulloch

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

21945 Issued in CA

Practice address

10421 Corporate Dr
Redlands, CA 92374-2838

Phone

(951) 217-4007

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By 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

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.

• Wonderlab

  • Rehabilitation Clinic/Center
  • Redlands, CA
  • NPI 1497203566
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1689122418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD",
            "address_2": "SUITE 230",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734775",
            "telephone_number": "909-735-7654",
            "fax_number": "909-796-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 CORPORATE DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742838",
            "telephone_number": "951-217-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Munguia DDS Inc
• Jorge R Mazlumian, M.D.
• Allan L McCall, M.D.
• Jessica Briana McClintock, PH.D.
• Dawn Marie McCoy
• Megan Marie McCullough
• Nicholaus McDevitt, RN
• Jacquelyn McDonald
• Marsha Latoya McDonald
• April Joy McElfish, DPT

• Speech-Language Pathologist in Redlands, CA
• Providers in Redlands, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.