Michaela Rochelle Baratta, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Rome, NY

NPI 1972241123 · NPPES record last updated May 26, 2022

Key facts

NPI
1972241123
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
031573 (NY)
Practice address
107 E Chestnut St Ste 104
Rome, NY 13440-2834
Phone
(315) 337-7952
Fax
(315) 337-0991
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
031573NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Memorial Hospital, Inc. Past
since May 29, 2022
Accepting new patients
Rome Memorial Hospital, Inc. Past
since May 29, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 031573 NY Yes

Addresses

Primary practice location

107 E Chestnut St Ste 104
Rome, NY 13440-2834

Mailing address

1500 N James St
Rome, NY 13440-2844
Phone (315) 337-7952

Other providers in Rome, NY

All providers in Rome, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.