Organization Active NPI

Speech and Language for Kids LLC

  • Speech-Language Pathologist
  • Wilmington, DE
National Provider Identifier
1205485489
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH AND LANGUAGE FOR KIDS LLC
Practice address
3526 Silverside Rd Ste 37
Wilmington, DE 19810-4901
Phone
(302) 415-3382
Fax
(302) 351-8852
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Mrs. Jennifer Diane Metaxas, MS, CCC-SLPNPI 1477067064
Title
Speech-Language Pathologist
Phone
(847) 852-0928

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3526 Silverside Rd Ste 37
Wilmington, DE 19810-4901

Mailing address

3510 Silverside Rd Ste 2
Wilmington, DE 19810-4937
Phone (302) 415-3382

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer@speechlanguagekids.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Speech and Language for Kids2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3526 Silverside Rd
Ste 37
Wilmington, DE 19810
Phone (302) 415-3382

3510 Silverside Rd
Ste 2
Wilmington, DE 19810
Phone (302) 415-3382

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1205485489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 SILVERSIDE RD STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104937",
            "telephone_number": "302-415-3382",
            "fax_number": "302-351-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 SILVERSIDE RD STE 37",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104901",
            "telephone_number": "302-415-3382",
            "fax_number": "302-351-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE FOR KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "METAXAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-852-0928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@speechlanguagekids.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3526 Silverside Rd Ste 37",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198104901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.