NPIMap

Organization Active NPI

Latitude Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Salem, MA
National Provider Identifier
1124609383
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
LATITUDE SPEECH THERAPY LLC
Practice address
304 Essex St Unit 3
Salem, MA 01970-3420
Phone
(201) 406-3356
NPI assigned
Apr 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Diana Brenner-Miller, MS CCC-SLPNPI 1598167090
Title
Owner
Phone
(201) 406-3356

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 Primary

Addresses

Primary practice location

304 Essex St Unit 3
Salem, MA 01970-3420

Mailing address

304 Essex St Unit 3
Salem, MA 01970-3420
Phone (201) 406-3356

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": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1124609383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ESSEX ST UNIT 3",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703420",
            "telephone_number": "201-406-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 ESSEX ST UNIT 3",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703420",
            "telephone_number": "201-406-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "BRENNER-MILLER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-406-3356",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.