Early Sprout Pediatric Therapy

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

EARLY SPROUT PEDIATRIC THERAPY

Practice address

1600 Mink TRL
Cary, IL 60013-6070

Phone

(224) 595-4220

NPI assigned

Sep 1, 2022

Last updated

Sep 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caitlyn Boni, MA, CCC-SLPNPI 1568077188

Title

Managing Member/SLP

Phone

(224) 595-4220

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caitlyn Boni

  • Speech-Language Pathologist
  • Glenview, IL
  • NPI 1568077188
  NPD Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1013637644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MINK TRL",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600136070",
            "telephone_number": "224-595-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MINK TRL",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600136070",
            "telephone_number": "224-595-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY SPROUT PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "BONI",
        "authorized_official_first_name": "CAITLYN",
        "authorized_official_title_or_position": "MANAGING MEMBER/SLP",
        "authorized_official_telephone_number": "224-595-4220",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki L Den Exter Blokland, LCPC
• Donna Brooks LCSW PLLC
• Theresa Donoghue, LCSW
• Dr Michael E Shery PC
• Gina Duke, M.S., CCC-SLP/L
• Envision Psychological Services, P.C.
• Nahara Abigail Escalante Bustillo
• Expression and Espresso, LLC
• Fairway Golf Cars, Inc. (Specialty Transports, Inc)
• John Felbinger, PT

• Hearing and Speech Clinic/Center in Cary, IL
• Providers in Cary, IL by specialty
• Hearing and Speech Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.