Carly Finocchio

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116237 Issued in TX

Practice address

6800 Gateway Blvd E Ste 4a
El Paso, TX 79915-1006

Phone

(915) 779-7827

NPI assigned

May 2, 2017

Reactivated

Oct 3, 2019

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

Other names 1

• Miss Carly Mellen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1700312345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80027A GENERAL PATTON ST",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136034054",
            "telephone_number": "407-473-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 GATEWAY BLVD E STE 4A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151006",
            "telephone_number": "915-779-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16783 Ives Street Ext",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136015312",
            "country_code": "US",
            "telephone_number": "315-788-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINOCCHIO",
        "first_name": "CARLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "deactivation_date": "2019-09-24",
        "reactivation_date": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "MELLEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghan Fillinger, MD
• Marco Michelle Fimbres Ramirez, M.D.
• Ruben Joseph Fineron, LPC
• Kristin Lynn Finley, DIETICIAN
• Luis Alberto Finley, PHARM.D.
• Melissa Jane Firkins, LMSW
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• First Family Dental Group

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.