Seraphim Children's Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7269 Issued in NC

Legal business name

SERAPHIM CHILDREN'S THERAPY

Practice address

69 Wildflower Mountain TRL
Candler, NC 28715-5503

Phone

(828) 423-4090

Fax

(828) 633-0744

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Sara P. Mitchell, MS, CCC-SLP

Title

Owner/President

Phone

(828) 423-4090

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Seraphim Children's Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Seraphim Children's Therapy

  • Rehabilitation Practitioner
  • Candler, NC
  • NPI 1336437771
  NPD tax ID
• Seraphim Children's Therapy

  • Speech-Language Pathologist
  • Candler, NC
  • NPI 1679716674
  NPD tax ID

Practitioners 1

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

• Jason Macarthur Robichaud, LCSW

  • Clinical Social Worker
  • Candler, NC
  • NPI 1336330018
  NPD (past)

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1093007320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WILDFLOWER MOUNTAIN TRL",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287155503",
            "telephone_number": "828-423-4090",
            "fax_number": "828-633-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WILDFLOWER MOUNTAIN TRL",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287155503",
            "telephone_number": "828-423-4090",
            "fax_number": "828-633-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPHIM CHILDREN'S THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "828-423-4090",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412689",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Nichole Sappington, LCSW
• Tiffany N Sauls, MD
• Jeanne Schlesinger, NP
• Ian Patrick Scott, PT
• Allison Rose Seggerman
• Seraphim Children's Therapy
• Seraphim Children's Therapy
• Dylan Sheedy, DPT
• Stephanie Shepherd
• Eric Davis Smith, M.D.

• Speech-Language Pathologist in Candler, NC
• Providers in Candler, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.