Spectrum Speech Solutions, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8612 Issued in FL

Legal business name

SPECTRUM SPEECH SOLUTIONS, INC.

Practice address

18064 107TH Ave S
Boca Raton, FL 33498-1620

Phone

(914) 671-5822

Fax

(561) 533-9918

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Paula S. Perretz, MMS SLP

Title

President - Speech Pathologist

Phone

(914) 671-5822

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1033513387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18064 107TH AVE S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981620",
            "telephone_number": "914-671-5822",
            "fax_number": "561-533-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18064 107TH AVE S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981620",
            "telephone_number": "914-671-5822",
            "fax_number": "561-533-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SPEECH SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "PERRETZ",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT - SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "914-671-5822",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MMS SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9488430052",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.