Organization Active NPI

Small Successes Pediatric Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1073394151
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SMALL SUCCESSES PEDIATRIC SPEECH THERAPY LLC
Practice address
3545 Ellicott Mills Dr Ste 207
Ellicott City, MD 21043-4513
Phone
(410) 829-5431
NPI assigned
Oct 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Monica Kile Levine, M.S., CCC-SLPNPI 1306266150
Title
Owner/Speech-Language Pathologist
Phone
(410) 829-5431

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
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

3545 Ellicott Mills Dr Ste 207
Ellicott City, MD 21043-4513

Mailing address

3545 Ellicott Mills Dr Ste 207
Ellicott City, MD 21043-4513

National Provider Directory

National Provider Directory

Locations

3545 Ellicott Mills Dr
Ste 207
Ellicott City, MD 21043
Phone (410) 829-5431

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": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1073394151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 ELLICOTT MILLS DR STE 207",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 ELLICOTT MILLS DR STE 207",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434513",
            "telephone_number": "410-829-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL SUCCESSES PEDIATRIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "KILE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "410-829-5431",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.