Organization Active NPI

Dyad Speech Services

  • Speech-Language Pathologist
  • Providence, RI
National Provider Identifier
1053906727
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DYAD SPEECH SERVICES
Practice address
41 Pleasant St
Providence, RI 02906-1717
Phone
(401) 207-1002
Fax
(401) 808-6168
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Marshel Johnson
Title
Owner
Phone
(401) 207-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

41 Pleasant St
Providence, RI 02906-1717

Mailing address

41 Pleasant St
Providence, RI 02906-1717
Phone (401) 207-1002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1053906727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PLEASANT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061717",
            "telephone_number": "401-207-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PLEASANT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061717",
            "telephone_number": "401-207-1002",
            "fax_number": "401-808-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYAD SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARSHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-207-1002"
    },
    "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 Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.