Kelly Marie Clochessy, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015932-1 Issued in NY

Practice address

5820 Heritage Landing Dr
East Syracuse, NY 13057-9378

Phone

(315) 701-1107

NPI assigned

Oct 24, 2008

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

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

• United Cerebral Palsy Association of Cayuga County, Inc.

  dba E. John Gavras Center

  • Specialist
  • Auburn, NY
  • NPI 1902854987
  Medicare reassignment NPD
• United Cerebral Palsy Association of Cayuga County, Inc.

  dba E John Gavras Center

  • Developmental Disabilities Clinic/Center
  • Auburn, NY
  • NPI 1609838226
  NPD

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1730332545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 DABOLL RD",
            "city": "MEMPHIS",
            "state": "NY",
            "postal_code": "131128700",
            "telephone_number": "315-689-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 HERITAGE LANDING DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579378",
            "telephone_number": "315-701-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOCHESSY",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015932-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarity Clinical Research, LLC
• Jamison Lee Clark, OTR/L
• Shaniece Nichelle Clark
• Dale S Clemens
• Franchesca I Clemente, LCSW
• Lorrie Clute, OTR/L
• Cny Child Neurology Associates
• Cny Chiropractic, PC
• Cny Cosmetic & Reconstructive Surgery LLC
• Cny Family Care, LLP

• Speech-Language Pathologist in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.