Angelique Bernal, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

8101 Willow Branch Dr
Waxhaw, NC 28173-7039

Phone

(704) 577-1951

NPI assigned

Aug 3, 2016

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Speechcenter LLC, D/B/a Sidekick Therapy Partners

  • Speech-Language Pathologist
  • Winston Salem, NC
  • NPI 1306840251
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1891248100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 WILLOW BRANCH DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737039",
            "telephone_number": "704-577-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 WILLOW BRANCH DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737039",
            "telephone_number": "704-577-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "ANGELIQUE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891248100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Lindsay Becker, LPC, M.ED, B.A
• Tiffany N Behnke, PHARMD
• Benchmark Physical Therapy of NC, LLC
• Erin Kate Bennett White, M.ED-CF
• Sharonne Benson, LCMHCA
• Brooke Berridge, OTR/L
• John Marvin Bethune
• Bevin K Malle DDS PA II (Carolin Kids Dentistry 2)
• Terri Jo Biggerstaff Bury, RD, LDN, CDE
• Stephanie Bigham, LCSW

• Speech-Language Pathologist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.