Alisa Anne-Marie Carlin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005841 Issued in IL

Practice address

780 Shoreline Dr
Aurora, IL 60504-6192

Phone

(630) 375-3030

NPI assigned

Nov 13, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Indian Prairie School District 204

  • Local Education Agency (LEA)
  • Aurora, IL
  • NPI 1831427061
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1942713920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25043 GATES LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852191",
            "telephone_number": "815-483-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SHORELINE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046192",
            "telephone_number": "630-375-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "ALISA",
        "middle_name": "ANNE-MARIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245360239",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiovascular Consultants of Aurora, S.C.
• Care DMS LLC
• Caring Connections LLC
• Caring Hearts Counseling Center
• Meghan G Caringella
• Erin Lynn Carlson
• Arielle Carmel
• Cristen Carn, LCPC
• Josie Carollo, MA
• Anthony R Caronia, PT, DPT

• Speech-Language Pathologist in Aurora, IL
• Providers in Aurora, 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 Nov 13, 2017; 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.