NPIMap

Organization Active NPI

Easter Seals of South Florida

  • Speech-Language Pathologist
  • Sunrise, FL
National Provider Identifier
1003039744
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4862 Issued in FL
Legal business name
EASTER SEALS OF SOUTH FLORIDA
Practice address
12701 W Sunrise Blvd
Sunrise, FL 33323-0907
Phone
(954) 792-8772
Fax
(954) 791-8275
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cathy Susskind, MA CCC-SLPNPI 1366503880
Title
Director Outpatient Medical Rehab.
Phone
(954) 792-8772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA4862 FL Primary

Addresses

Primary practice location

12701 W Sunrise Blvd
Sunrise, FL 33323-0907

Mailing address

10507 NW 10TH CT
Plantation, FL 33322-6595
Phone (954) 693-3520

Other identifiers 1

IdentifierTypeStateIssuer
889844800MedicaidFL

National Provider Directory

National Provider Directory

Locations

12701 W Sunrise Blvd
Sunrise, FL 33323
Phone (954) 792-8772

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1003039744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 NW 10TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226595",
            "telephone_number": "954-693-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W SUNRISE BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230907",
            "telephone_number": "954-792-8772",
            "fax_number": "954-791-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SUSSKIND",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR OUTPATIENT MEDICAL REHAB.",
        "authorized_official_telephone_number": "954-792-8772",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889844800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.