Organization Active NPI

Cypress Pediatric Speech Therapy PLLC

  • Speech-Language Pathologist
  • Cypress, TX
National Provider Identifier
1033984497
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CYPRESS PEDIATRIC SPEECH THERAPY PLLC
Practice address
12917 Lake Parc Bend Dr
Cypress, TX 77429-6192
Phone
(281) 382-1076
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Julie WahrenbergerNPI 1316264054
Title
Owner
Phone
(281) 382-1076

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: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

12917 Lake Parc Bend Dr
Cypress, TX 77429-6192

Mailing address

12917 Lake Parc Bend Dr
Cypress, TX 77429-6192
Phone (281) 382-1076

National Provider Directory

National Provider Directory

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": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1033984497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12917 LAKE PARC BEND DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296192",
            "telephone_number": "281-382-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12917 LAKE PARC BEND DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296192",
            "telephone_number": "281-382-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS PEDIATRIC SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "WAHRENBERGER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-382-1076"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.