Individual provider Active NPI

Michelle Bonnelly-Juarbe, SLP-CCC

  • Speech-Language Pathologist
  • Pleasanton, CA
National Provider Identifier
1811700420
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
7041 Koll Center Pkwy Ste 210
Pleasanton, CA 94566-3189
Phone
(855) 828-3200
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

7041 Koll Center Pkwy Ste 210
Pleasanton, CA 94566-3189

Mailing address

7041 Koll Center Pkwy Ste 210
Pleasanton, CA 94566-3189
Phone (855) 828-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602001858 CA Practitioner - Qualified Speech Language Pathologist 0749799757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23593CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Curacion Therapy Services Inc Speech-Language Pathologist CurrentSince Mar 15, 2025 Accepting new patients

Locations

7041 Koll Center Pkwy
Ste 210
Pleasanton, CA 94566
Phone (408) 430-6266

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1811700420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 KOLL CENTER PKWY STE 210",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663189",
            "telephone_number": "855-828-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 KOLL CENTER PKWY STE 210",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663189",
            "telephone_number": "855-828-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNELLY-JUARBE",
        "first_name": "MICHELLE",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.