Stacie L McCaulley, M.S., CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006602 Issued in VA

Practice address

9705 Burleson Dr
Dallas, TX 75243-2304

Phone

(845) 206-3003

NPI assigned

Apr 11, 2012

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

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.

• Speechlyfe PLLC

  • Home Health Agency
  • Dallas, TX
  • NPI 1033962949
  NPD Authorized official

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1891052155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 BURLESON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432304",
            "telephone_number": "845-206-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 BURLESON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432304",
            "telephone_number": "845-206-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULLEY",
        "first_name": "STACIE",
        "middle_name": "L",
        "credential": "M.S., CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashanique Lichelle McCarver, MSN, APRN, FNP-C
• April Yvonne McCaskill, APRN, FNP-BC
• Margaret M McCasland, CPNP
• Kristine Lea McCaslin, PSYD
• Taylor Michelle McCauley
• Joanna McClain, RN
• Vanessa McClam, PTA
• Claudia McClanahan, RN
• Karen Barker McClard, M.D.
• Andrew Joseph McClellan, MD

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.