The Communication Clubhouse

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE COMMUNICATION CLUBHOUSE

Practice address

9747 Broken Bow Rd
Dallas, TX 75238-2507

Phone

(214) 952-2684

NPI assigned

Mar 22, 2019

Organization subpart

No

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

Authorized official

Name

Nicole Gonzalez Devoss, JD, MS, CCC-SLPNPI 1386090918

Title

Manager

Phone

(214) 952-2684

Specialties & licenses 1

Addresses

Practitioners 2

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

• Nicole Devoss, JD, MS, CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1386090918
  NPD (past) Authorized official
• Jennifer Allen, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1891252920

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1063972388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9747 BROKEN BOW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382507",
            "telephone_number": "214-952-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9747 BROKEN BOW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382507",
            "telephone_number": "214-952-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNICATION CLUBHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "DEVOSS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "GONZALEZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-952-2684",
        "authorized_official_credential": "JD, MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.