NPIMap

Organization Active NPI

S.T.a.R Treatment

  • Speech-Language Pathologist
  • Massillon, OH
National Provider Identifier
1164836482
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.8781 Issued in OH
Legal business name
S.T.A.R TREATMENT
Practice address
2909 Chippendale St NW
Massillon, OH 44646-2927
Phone
(567) 303-8364
NPI assigned
Jun 14, 2014
Last updated
Jun 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

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

Authorized official

Name
Mrs. Tiffany Star Skillern, MACCCSLPNPI 1154532158
Title
Owner
Phone
(567) 303-8364

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
Speech-Language Pathologist 235Z00000X SP.8781 OH Primary

Addresses

Primary practice location

2909 Chippendale St NW
Massillon, OH 44646-2927

Mailing address

2909 Chippendale St NW
Massillon, OH 44646-2927

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402704000000",
    "number": "1164836482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 CHIPPENDALE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 CHIPPENDALE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462927",
            "telephone_number": "567-303-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.T.A.R TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-14",
        "last_updated": "2014-06-14",
        "status": "A",
        "authorized_official_last_name": "SKILLERN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "STAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-303-8364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MACCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.8781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; 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.