Individual provider Active NPI

Cecilia Angel Caromata, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1861662355
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103379 Issued in TX
Practice address
2525 Wallingwood Dr
Building 2
Austin, TX 78746-6900
Phone
(512) 327-6179
Fax
(512) 327-1545
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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 103379 TX Primary

Addresses

Primary practice location

2525 Wallingwood Dr
Building 2
Austin, TX 78746-6900

Mailing address

2525 Wallingwood Dr
Building 2
Austin, TX 78746-6900
Phone (512) 327-6179

Other identifiers 1

IdentifierTypeStateIssuer
203125401MedicaidTX

Other names 1

  • Cecilia Angel Palacios Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131014000965 TX Practitioner - Qualified Speech Language Pathologist 8820222441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Speech Pathology Services, IncGroup PAC ID 3678628583, 8 clinicians

Practice addresses (Care Compare)

2525 Wallingwood BLDG
Austin, TX 78746-6900
Phone (512) 327-6179

2525 Wallingwood Dr BLDG
Suite 2
Austin, TX 78746-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Speech Pathology Services, Inc Speech-Language Pathologist CurrentSince Aug 6, 2013 Accepting new patients

Locations

2525 Wallingwood Dr
Bldg 2
Austin, TX 78746
Phone (512) 327-6179

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1861662355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR",
            "address_2": "BUILDING 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900",
            "telephone_number": "512-327-6179",
            "fax_number": "512-327-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR",
            "address_2": "BUILDING 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900",
            "telephone_number": "512-327-6179",
            "fax_number": "512-327-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROMATA",
        "first_name": "CECILIA",
        "middle_name": "ANGEL",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203125401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "PALACIOS",
            "middle_name": "ANGEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.