Organization Active NPI

Speech Genie Therapeutic Services

  • Speech-Language Pathologist
  • Montclair, NJ
National Provider Identifier
1003583774
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH GENIE THERAPEUTIC SERVICES
Practice address
18-20 Lackawanna PLZ Ste 300
Montclair, NJ 07042-3642
Phone
(973) 826-0595
NPI assigned
Aug 30, 2021
Organization subpart
Yes
Parent organization
REGINA SMITHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Authorized official

Name
Regina SmithNPI 1932514809
Title
Speech Language Pathologist
Phone
(973) 826-0595

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 Primary

Addresses

Primary practice location

18-20 Lackawanna PLZ Ste 300
Montclair, NJ 07042-3642

Mailing address

18-20 Lackawanna PLZ Ste 300
Montclair, NJ 07042-3642
Phone (973) 826-0595

National Provider Directory

National Provider Directory
Part of
Speech Genie Therapeutic Services

Locations

590 Bloomfield Ave
Ste 376
Bloomfield, NJ 07003

246 Market St
Ste 173
Paterson, NJ 07505

Practitioners & affiliated clinicians

Practitioners 1

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": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745712000000",
    "number": "1003583774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-20 LACKAWANNA PLZ STE 300",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423642",
            "telephone_number": "973-826-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-20 LACKAWANNA PLZ STE 300",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423642",
            "telephone_number": "973-826-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH GENIE THERAPEUTIC SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGINA SMITH",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "973-826-0595"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; 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.