Individual provider Active NPI

Anne Marie Layendecker Barclay, MA, CCC-SLP

  • Speech-Language Pathologist
  • Carol Stream, IL
National Provider Identifier
1083748123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
164 Horizon Cir
Carol Stream, IL 60188-1600
Phone
(630) 653-7448
Fax
(630) 784-9350
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Primary

Addresses

Primary practice location

164 Horizon Cir
Carol Stream, IL 60188-1600

Mailing address

164 Horizon Cir
Carol Stream, IL 60188-1600
Phone (630) 653-7448

Other names 1

  • Mrs. Anne Marie Barclay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146004168ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083748123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HORIZON CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881600",
            "telephone_number": "630-653-7448",
            "fax_number": "630-784-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 HORIZON CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881600",
            "telephone_number": "630-653-7448",
            "fax_number": "630-784-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYENDECKER BARCLAY",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BARCLAY",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "MA, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.