NPIMap

Organization Active NPI

Cerebral Palsy Association of Greater Baton Rouge

  • Speech-Language Pathologist
  • Baton Rouge, LA
National Provider Identifier
1124323704
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6299 Issued in LA
Legal business name
CEREBRAL PALSY ASSOCIATION OF GREATER BATON ROUGE
Doing business as
McMains Children's Developmental Center
Practice address
1805 College Dr
Baton Rouge, LA 70808-1919
Phone
(225) 923-3420
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Mrs. Janet Ketcham
Title
Executive Director
Phone
(225) 923-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 6299 LA Primary

Addresses

Primary practice location

1805 College Dr
Baton Rouge, LA 70808-1919

Mailing address

2167 Glendale Ave
Baton Rouge, LA 70808-2839

Other names 1

  • McMains Children's Developmental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy Association of GBR Inc3 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": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1124323704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 GLENDALE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 COLLEGE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081919",
            "telephone_number": "225-923-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY ASSOCIATION OF GREATER BATON ROUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "KETCHAM",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-923-3420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMains Children's Developmental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.