Carley Kosik

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

217000336 Issued in IL

Practice address

3130 Chatham Rd Ste a
Springfield, IL 62704-5379

Phone

(815) 725-9992

NPI assigned

Nov 12, 2019

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

• Carley Sheehan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Speech Tree Associates, LLC

  • Speech-Language Pathologist
  • Springfield, IL
  • NPI 1578794558
  NPD
• Autism Home Support Services, Inc

  • Behavior Analyst
  • Northbrook, IL
  • NPI 1770818841
  NPD (past)

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1922643188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628005",
            "telephone_number": "847-807-3717",
            "fax_number": "847-348-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 CHATHAM RD STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045379",
            "telephone_number": "815-725-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIK",
        "first_name": "CARLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": "217000336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEY",
            "last_name": "SHEEHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Horst R Konrad, M.D.
• Erik K Kooba, M.D.
• Dale Robert Korinek, PSY.D.
• Arunika Korwar
• Brandon Ward Koser, DO
• Sean Kostolansky, D.O.
• Regina A Kovach, M.D.
• Michael Kovarik, M.D.
• Natalia H. Kozak, M.D.
• Stefan P. Kozak, M.D.

• Speech-Language Assistant in Springfield, IL
• Providers in Springfield, IL by specialty
• Speech-Language Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.