Star Kids Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

STAR KIDS THERAPY

Practice address

2882 NW 204TH St
Miami Gardens, FL 33056-2033

Phone

(305) 766-5897

NPI assigned

Feb 22, 2020

Organization subpart

No

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

Authorized official

Name

Vaness Calel

Title

President

Phone

(305) 766-5897

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1053945691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 NW 204TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562033",
            "telephone_number": "305-766-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 NW 204TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562033",
            "telephone_number": "305-766-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "CALEL",
        "authorized_official_first_name": "VANESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-766-5897"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail",
            "address_1": "2882 NW 204th St",
            "city": "Miami Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330562033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.