NPIMap

Organization Active NPI

Center for Speech, Language and Learning, Inc.

Doing business as Center for Speech Language Lea

  • Speech-Language Pathologist
  • Oakdale, MN
National Provider Identifier
1164588307
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CENTER FOR SPEECH, LANGUAGE AND LEARNING, INC.
Doing business as
Center for Speech Language Lea
Practice address
434 Hayward Ave N
Oakdale, MN 55128-5379
Phone
(651) 739-2300
Fax
(651) 739-2302
NPI assigned
Dec 30, 2006
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Mrs. Marcy E McRae
Title
Clinic Manager
Phone
(651) 739-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

434 Hayward Ave N
Oakdale, MN 55128-5379

Mailing address

434 Hayward Ave N
Oakdale, MN 55128-5379
Phone (651) 739-2300

Other names 1

  • Center for Speech Language Lea Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100225000357 MN Part B Supplier - Clinic/Group Practice 9931243151 Receives reassigned benefits from 4 practitioners
Practice locations: Oakdale, MN

National Provider Directory

National Provider Directory

Locations

6230 10th St N
Ste 220
Oakdale, MN 55128
Phone (651) 739-2300

434 Hayward Ave N
Saint Paul, MN 55128
Phone (651) 739-2300

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1164588307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285379",
            "telephone_number": "651-739-2300",
            "fax_number": "651-698-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285379",
            "telephone_number": "651-739-2300",
            "fax_number": "651-739-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPEECH, LANGUAGE AND LEARNING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "651-739-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Speech Language Lea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.