Individual provider Active NPI

Judith Roman Catacora Calderon, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • New Castle, PA
National Provider Identifier
1942486931
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006419L Issued in PA
Practice address
3023 Wilmington Rd
New Castle, PA 16105-1242
Phone
(724) 656-8814
Fax
(724) 656-8815
NPI assigned
Jan 21, 2008
Last updated
Jan 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL006419L PA Primary

Addresses

Primary practice location

3023 Wilmington Rd
New Castle, PA 16105-1242

Mailing address

405 Georgetown CT
Seven Fields, PA 16046-7860
Phone (724) 772-8036

Other names 1

  • Ms. Judith Roman Calderon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SL006419LPAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Professionals Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1942486931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GEORGETOWN CT",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467860",
            "telephone_number": "724-772-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051242",
            "telephone_number": "724-656-8814",
            "fax_number": "724-656-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATACORA CALDERON",
        "first_name": "JUDITH",
        "middle_name": "ROMAN",
        "name_prefix": "Ms.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006419L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "CALDERON",
            "middle_name": "ROMAN",
            "prefix": "MS.",
            "credential": "M.ED., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.