Organization Active NPI

Janis I McDonald Ma CCC SLP

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1083059018
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JANIS I MCDONALD MA CCC SLP
Practice address
3900 N Hills Dr
Apt. 414
Hollywood, FL 33021-2545
Phone
(954) 557-6809
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Janis Irene McDonald
Title
Ceo
Phone
(954) 557-6809

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3900 N Hills Dr
Apt. 414
Hollywood, FL 33021-2545

Mailing address

3900 N Hills Dr
Apt. 414
Hollywood, FL 33021-2545

Other identifiers 1

IdentifierTypeStateIssuer
003938400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1083059018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N HILLS DR",
            "address_2": "APT. 414",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N HILLS DR",
            "address_2": "APT. 414",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212545",
            "telephone_number": "954-557-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIS I MCDONALD MA CCC SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-557-6809"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003938400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.