Organization Active NPI

Special Connections Speech & Language Academy, Inc.

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1083087548
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19322 Issued in TX
Legal business name
SPECIAL CONNECTIONS SPEECH & LANGUAGE ACADEMY, INC.
Practice address
12570 Clay Rd
Houston, TX 77041-5593
Phone
(214) 529-7582
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Kendra L Severs, SLP
Title
Owner
Phone
(214) 529-7582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 19322 TX Primary

Addresses

Primary practice location

12570 Clay Rd
Houston, TX 77041-5593

Mailing address

12570 Clay Rd
Houston, TX 77041-5593
Phone (214) 529-7582

Other identifiers 1

IdentifierTypeStateIssuer
005758004MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1083087548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12570 CLAY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415593",
            "telephone_number": "214-529-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 CLAY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415593",
            "telephone_number": "214-529-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CONNECTIONS SPEECH & LANGUAGE ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "SEVERS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-529-7582",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005758004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.