NPIMap

Organization Active NPI

Wallingford-Swarthmore SD

  • Speech-Language Pathologist
  • Wallingford, PA
National Provider Identifier
1104885995
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL001322L Issued in PA
Legal business name
WALLINGFORD-SWARTHMORE SD
Practice address
200 South Providence Rd
Wallingford, PA 19086-3817
Phone
(610) 892-3470
Fax
(610) 480-3827
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ron Vanlangeveld
Title
Director of Pupil Services
Phone
(610) 892-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SL001322L PA Primary

Addresses

Primary practice location

200 South Providence Rd
Wallingford, PA 19086-3817

Mailing address

200 South Providence Rd
Wallingford, PA 19086-3817
Phone (610) 892-3470

Other identifiers 1

IdentifierTypeStateIssuer
0014520300001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Wallingford Swarthmore SD3 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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104885995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH PROVIDENCE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190863817",
            "telephone_number": "610-892-3470",
            "fax_number": "610-480-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH PROVIDENCE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190863817",
            "telephone_number": "610-892-3470",
            "fax_number": "610-480-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGFORD-SWARTHMORE SD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VANLANGEVELD",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL SERVICES",
        "authorized_official_telephone_number": "610-892-3470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL001322L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014520300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.