Treasure Coast Swallowing Diagnostics Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 7547 Issued in FL

Legal business name

TREASURE COAST SWALLOWING DIAGNOSTICS INC

Practice address

64 Joy Haven Dr
Sebastian, FL 32958-6282

Phone

(954) 249-1693

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Christopher Gaughran, M.S. CCC-SLP

Title

President

Phone

(954) 249-1693

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1215299276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 JOY HAVEN DR",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586282",
            "telephone_number": "954-249-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 JOY HAVEN DR",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586282",
            "telephone_number": "954-249-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST SWALLOWING DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "GAUGHRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-249-1693",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013971159",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.