NPIMap

Organization Active NPI

Carolina Kidz Therapy, LLC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1871125997
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CAROLINA KIDZ THERAPY, LLC
Doing business as
Carolina Kidz Therapy, LLC
Practice address
5516 Fenway Dr
Charlotte, NC 28273-3976
Phone
(704) 785-0560
NPI assigned
Feb 6, 2020
Last updated
Feb 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Mrs. Pamela Mechele Dicarlo, M.S. CCC-SLPNPI 1649626839
Title
Speech-Language Pathologist
Phone
(412) 849-8209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5516 Fenway Dr
Charlotte, NC 28273-3976

Mailing address

5516 Fenway Dr
Charlotte, NC 28273-3976
Phone (704) 785-0560

Other names 1

  • Carolina Kidz Therapy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1343 E Garrison Blvd
Ste A
Gastonia, NC 28054
Phone (704) 824-1321

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1871125997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 FENWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733976",
            "telephone_number": "704-785-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 FENWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733976",
            "telephone_number": "704-785-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA KIDZ THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "DICARLO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "MECHELE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "412-849-8209",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Kidz Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.