Organization Active NPI

Building Bridges Therapies, LLC

  • Speech-Language Pathologist
  • Upper Marlboro, MD
National Provider Identifier
1104209816
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05004 Issued in MD
Legal business name
BUILDING BRIDGES THERAPIES, LLC
Practice address
8539 Grandhaven Ave
Upper Marlboro, MD 20772-5070
Phone
(202) 688-1038
Fax
(202) 688-2774
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Mrs. Deniere Allen
Title
Owner/Operator
Phone
(202) 688-1038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 05004 MD Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP000200 DC

Addresses

Primary practice location

8539 Grandhaven Ave
Upper Marlboro, MD 20772-5070

Mailing address

1725 I St NW
Suite 300
Washington, DC 20006-2403
Phone (202) 688-1038

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1104209816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 I ST NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200062403",
            "telephone_number": "202-688-1038",
            "fax_number": "202-688-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 GRANDHAVEN AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725070",
            "telephone_number": "202-688-1038",
            "fax_number": "202-688-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BRIDGES THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DENIERE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "202-688-1038",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05004",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.