Speech Center Indiana, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH CENTER INDIANA, LLC

Practice address

2616 S Twyckenham Dr
South Bend, IN 46614-1440

Phone

(574) 350-3943

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Raizy YormarkNPI 1205132727

Title

Speech Therapist

Phone

(574) 350-3943

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raizy Yormark

  • Speech-Language Pathologist
  • South Bend, IN
  • NPI 1205132727
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1043936941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 S TWYCKENHAM DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141440",
            "telephone_number": "574-350-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 S TWYCKENHAM DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141440",
            "telephone_number": "574-350-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH CENTER INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "YORMARK",
        "authorized_official_first_name": "RAIZY",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "574-350-3943"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Side Foot and Ankle Clinic
• Chandaly Sovan, PHARM.D.
• Catlyn Love Spake, RBT
• Rachelle Sparks
• Spectrum Social Growth and Counseling
• Melissa Lynn Spencer, R.D.C.D.
• Steven Paul Spilger, MD
• Stephen Spiritoso, DDS
• Scott Spite, PHARMD
• Faith Marisa Spiteri, RBT

• Speech-Language Pathologist in South Bend, IN
• Providers in South Bend, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.