NPIMap

Organization Active NPI

Speech and Learning Institute, Inc.

  • Hearing and Speech Clinic/Center
  • North Palm Beach, FL
National Provider Identifier
1124344528
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SA7555 Issued in FL
Legal business name
SPEECH AND LEARNING INSTITUTE, INC.
Practice address
1201 US Highway 1 Ste 215
North Palm Beach, FL 33408-3547
Phone
(561) 776-8612
Fax
(561) 623-7515
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Jaclyn Louise Theeck, M.A. CCC-SLPNPI 1861531188
Title
President
Phone
(561) 776-8612

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
Hearing and Speech Clinic/Center 261QH0700X SA7555 FL Primary

Addresses

Primary practice location

1201 US Highway 1 Ste 215
North Palm Beach, FL 33408-3547

Mailing address

301 Sun Terrace CT
Palm Beach Gardens, FL 33403-1188
Phone (561) 776-8612

Other identifiers 1

IdentifierTypeStateIssuer
8895171-00MedicaidFL

National Provider Directory

National Provider Directory

Locations

1201 US Highway 1
Ste 215
North Palm Beach, FL 33408
Phone (561) 623-7515

Practitioners & affiliated clinicians

Practitioners 6

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": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1124344528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SUN TERRACE CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031188",
            "telephone_number": "561-776-8612",
            "fax_number": "561-623-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 1 STE 215",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083547",
            "telephone_number": "561-776-8612",
            "fax_number": "561-623-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LEARNING INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "THEECK",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-776-8612",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "SA7555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8895171-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.