Active NPI
Theraspeech, Inc.
- Speech-Language Pathologist
- West Palm Beach, FL
National Provider Identifier
1174915920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9570
- Legal business name
- THERASPEECH, INC.
- Practice address
- 418 34TH St
West Palm Beach, FL 33407-4822 - Phone
- (561) 436-8458
- Fax
- (561) 214-4962
- NPI assigned
- Mar 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mariam Obas-Ducoste, M.S. CCC-SLP
- Title
- Owner/Speech Language Pathologist
- Phone
- (561) 436-8458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA9570 | FL | Primary |
Addresses
Primary practice location
418 34TH St
West Palm Beach, FL 33407-4822
Mailing address
418 34TH St
West Palm Beach, FL 33407-4822
Phone (561) 436-8458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 892329900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425254400000",
"number": "1174915920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 34TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334074822",
"telephone_number": "561-436-8458",
"fax_number": "561-214-4962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 34TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334074822",
"telephone_number": "561-436-8458",
"fax_number": "561-214-4962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERASPEECH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-02",
"status": "A",
"authorized_official_last_name": "OBAS-DUCOSTE",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "561-436-8458",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892329900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.