Organization Active NPI

Theraspeech, Inc.

  • Speech-Language Pathologist
  • West Palm Beach, FL
National Provider Identifier
1174915920
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9570 Issued in FL
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

Updated by the provider on Mar 2, 2015

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
892329900MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.