Individual provider Active NPI

Chrystal K Bhola, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1184923039
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11401 Issued in FL
Practice address
888 NW 27TH Ave
Miami, FL 33125-3000
Phone
(786) 431-1133
NPI assigned
Mar 17, 2011
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SA11401FLMDSpeech-Language Pathologist
SZ5366FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Therapy Center Corporation Single Specialty Past Accepting new patients
Chrystal Clear Communication, Inc Single Specialty PastSince Mar 21, 2021 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.

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

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.

Verify at the official NPI Registry.