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KELLY MICKLER MS, CCC-SLP
NPI 1720713381
Speech-Language Pathologist in San Diego, CA

Active since July 19, 2022
9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 92123(845) 499-4001 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 25, 2025, Jul 19, 2022 (2 updates tracked since 2022).

About Kelly Mickler Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MICKLER MS, CCC-SLP (NPI 1720713381) is an individual speech-language pathologist provider in San Diego, California, licensed in New York (032085) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1720713381
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY MICKLERCredential: MS, CCC-SLP
Location Address9620 CHESAPEAKE DR STE 105San Diego, CA 92123-1324
Mailing Address9620 Chesapeake Dr Ste 105San Diego, CA 92123-1324 · (845) 499-4001
Phone(845) 499-4001
Sole ProprietorYes
Enumeration DateJuly 19, 2022
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1720713381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 032085
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
9620 CHESAPEAKE DR STE 105, San Diego, CA 92123
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR HUGO MERCADO THOMAS
Behavior Technician
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123
San Diego County (714) 334-1111
DESIREE JOCELYN MUNOZ
Behavior Technician
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123
San Diego County (714) 834-1111
EVELYN AILEEN LOPEZ
Behavior Technician
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123
San Diego County (858) 505-9083
NAJMA NOOR
Behavior Technician
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123
San Diego County (619) 398-7815
ANGELA BUENO
Behavior Analyst
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123
San Diego County (858) 505-9083
CHRISTINE REGAN
Behavior Analyst
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123
San Diego County (714) 834-1111
LARISA M SHEVCHUK
Behavior Technician
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123
San Diego County (858) 505-9083
LILLIANA ROSE HSU MS
Speech-Language Pathologist
9620 CHESAPEAKE DR STE 105
SAN DIEGO, CA 92123
San Diego County (858) 505-9083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mickler's NPI number?

The NPI number for Kelly Mickler is 1720713381. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Kelly Mickler located?

Kelly Mickler practices at 9620 Chesapeake Dr Ste 105, San Diego, CA 92123. The listed phone number is (845) 499-4001.

What is Kelly Mickler's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mickler was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.