Active NPI
Robert Chaires
- Speech-Language Pathologist
- Colorado Springs, CO
National Provider Identifier
1023534229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PSLP.0000392
- Practice address
- 5446 N Academy Blvd
Colorado Springs, CO 80918-3644 - Phone
- (719) 598-5555
- NPI assigned
- Aug 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Speech-Language Pathologist | 235Z00000X | PSLP.0000392 | CO | Primary |
Addresses
Primary practice location
5446 N Academy Blvd
Colorado Springs, CO 80918-3644
Mailing address
5446 N Academy Blvd
Colorado Springs, CO 80918-3644
Phone (719) 598-5555
Other practice location 1
1500 S Ave K
Station 3, SHROC
Portales, NM 88130
Phone (575) 562-2156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3900 Eubank Blvd NE
Suite 7
Albuquerque, NM 87111-3427
Phone (505) 463-6039
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSLP.0000392 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Therapy Spot LLC | Current | Accepting new patients | |
| Eastern New Mexico University | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3900 Eubank Blvd NE
Ste 7
Albuquerque, NM 87111
Phone (505) 461-3525
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Albuquerque, NM
- NPI 1841985439
-
- Speech-Language Pathologist
- Portales, NM
- NPI 1356115273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1023534229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5446 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183644",
"telephone_number": "719-598-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5446 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183644",
"telephone_number": "719-598-5555"
}
],
"practiceLocations": [
{
"address_1": "1500 S Ave K",
"address_2": "Station 3, SHROC",
"address_purpose": "LOCATION",
"city": "Portales",
"state": "NM",
"postal_code": "88130",
"country_code": "US",
"telephone_number": "575-562-2156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAIRES",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-18",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "PSLP.0000392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.