Mikaela Kalafate

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

28564 Issued in CA

Practice address

255 N Lincoln St Ste a
Dixon, CA 95620-3238

Phone

(707) 366-5246

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Therapy Consulting, Inc.

  • Speech-Language Pathologist
  • Dixon, CA
  • NPI 1730702804
  NPD

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992405054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 58TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203164",
            "telephone_number": "707-971-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N LINCOLN ST STE A",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203238",
            "telephone_number": "707-366-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAFATE",
        "first_name": "MIKAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "28564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G Lawrence Holloway, D.D.S.
• Tanea Ingram
• Robin Jackson, RW
• Jcabreras, LLC (Gentlehands Home Care)
• Melony Rene Johnson
• Gurcharanjit Kaur
• Solji Kim
• Paul T Koenig, M.D.
• Kristina L. Wiley, DDS, Inc.
• Kristina L. Wiley, DDS, Inc.

• Speech-Language Pathologist in Dixon, CA
• Providers in Dixon, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.