Individual provider Active NPI

Michelle Tullett Charley, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Park Ridge, IL
National Provider Identifier
1982948576
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146-007202 Issued in IL
Practice address
1029 W Touhy Ave
Park Ridge, IL 60068-3232
Phone
(224) 585-6003
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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 146-007202 IL Primary

Addresses

Primary practice location

1029 W Touhy Ave
Park Ridge, IL 60068-3232

Mailing address

329 S Lincoln Ave
Park Ridge, IL 60068-3813
Phone (847) 720-4954

Other names 1

  • Michelle T Charley Professional 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 Arts

State licenses

LicenseStateTypeSpecialty
146-007202ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A Lot to Say Speech Therapy, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1982948576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S LINCOLN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683813",
            "telephone_number": "847-720-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W TOUHY AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683232",
            "telephone_number": "224-585-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLETT CHARLEY",
        "first_name": "MICHELLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-007202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CHARLEY",
            "middle_name": "T",
            "credential": "M.A., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.