NPIMap

Organization Active NPI

Talktime Pediatric Speech Academy, Inc

  • Speech-Language Pathologist
  • Woodstock, IL
National Provider Identifier
1093196370
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.004443 Issued in IL
Legal business name
TALKTIME PEDIATRIC SPEECH ACADEMY, INC
Practice address
1575 W Lake Shore Dr
Woodstock, IL 60098-6917
Phone
(815) 353-9527
Fax
(815) 337-7583
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Tammy Lynn Basel, MS CCC/SLPNPI 1700106838
Title
Speech/Language Pathologist
Phone
(815) 353-9527

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146.004443 IL Primary

Addresses

Primary practice location

1575 W Lake Shore Dr
Woodstock, IL 60098-6917

Mailing address

1302 Lilac LN
Harvard, IL 60033-3722
Phone (815) 943-3439

Other identifiers 2

IdentifierTypeStateIssuer
01094374OtherILASHA CERTIFICATION STATUS
146.004443OtherILLICENSE NUMBER

National Provider Directory

National Provider Directory

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": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1093196370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 LILAC LN",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600333722",
            "telephone_number": "815-943-3439",
            "fax_number": "815-337-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 W LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986917",
            "telephone_number": "815-353-9527",
            "fax_number": "815-337-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALKTIME PEDIATRIC SPEECH ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "BASEL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "815-353-9527",
        "authorized_official_credential": "MS CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.004443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION STATUS",
            "identifier": "01094374",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "146.004443",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.