Nicole Maiellaro, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.004541 Issued in IL

Practice address

185 S Marley Rd
New Lenox, IL 60451-3302

Phone

(815) 462-4928

NPI assigned

Aug 21, 2017

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

• Nicole Pacente Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Helping Hands Children's Therapy Services Inc.

  • Occupational Therapist
  • New Lenox, IL
  • NPI 1023188547
  NPD (past)
• Helping Hands Children's Therapy Services, Inc

  • Early Intervention Provider Agency
  • New Lenox, IL
  • NPI 1346790169
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1881110831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 140TH CT APT 403",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621222",
            "telephone_number": "708-287-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S MARLEY RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513302",
            "telephone_number": "815-462-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIELLARO",
        "first_name": "NICOLE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.004541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PACENTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Lynch
• Nicholas Albert Macak
• Deanna Macdonald, LCPC
• Connie Lynn Machetta, RDN, LDN
• Nicol J Mack
• Roxana Maria Maiers, PHARMD
• Emily Christine Malak
• Lizsette Mancilla
• Stamatina Mancini, MSN, RN, FNP-BC
• Kristyn Manning, RPH

• Speech-Language Pathologist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.