Active NPI
Chrystal K Bhola, M.S., CCC-SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1184923039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11401
- Practice address
- 888 NW 27TH Ave
Miami, FL 33125-3000 - Phone
- (786) 431-1133
- NPI assigned
- Mar 17, 2011
- Last updated
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ5366 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA11401 | FL | Primary |
Addresses
Primary practice location
888 NW 27TH Ave
Miami, FL 33125-3000
Mailing address
100 NW 108TH Ter Apt 208
Pembroke Pines, FL 33026-4088
Phone (305) 527-9532
Other practice location 1
2955 Coral Way
Coral Gables, FL 33145-3205
Phone (305) 444-9259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA11401 | FL | MD | Speech-Language Pathologist |
| SZ5366 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Therapy Center Corporation | Single Specialty | Past | Accepting new patients |
| Chrystal Clear Communication, Inc | Single Specialty | Past | Accepting new patients |
| Therapies 4 Kids, Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Pembroke Pines, FL
- NPI 1942780333
Single Specialty
-
- Speech-Language Pathologist
- Coral Gables, FL
- NPI 1114121803
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1184923039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 108TH TER APT 208",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264088",
"telephone_number": "305-527-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 NW 27TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331253000",
"telephone_number": "786-431-1133"
}
],
"practiceLocations": [
{
"address_1": "2955 Coral Way",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331453205",
"country_code": "US",
"telephone_number": "305-444-9259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHOLA",
"first_name": "CHRYSTAL",
"middle_name": "K",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-17",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ5366",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA11401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Shivani M Bhatia, MD
- Alok Bharat Bhatt, M.D.
- Ashish A Bhatt, M.D.
- Nirav Pradip Bhavsar, M.D.
- BHMG Gynecologic Oncology LLC (South Miami Gyn Oncology)
- Bi County Medical Supply Inc (Bi County Medical Supply)
- Cecille Biaggi, RD
- Suzanne Nicole Bialeck, M.D.
- Ausberto A Bianchi, MD
- Marisol Ludovica Bianchi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.