Active NPI
Mountainside Speech Therapy, LLC
- Hearing and Speech Clinic/Center
- Ogden, UT
National Provider Identifier
1225601412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- MOUNTAINSIDE SPEECH THERAPY, LLC
- Practice address
- 3828 Quincy Ave
Ogden, UT 84403-1947 - Phone
- (801) 822-1450
- NPI assigned
- Jul 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Renee Smith, M.S., CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (801) 822-1450
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
3828 Quincy Ave
Ogden, UT 84403-1947
Mailing address
3828 Quincy Ave
Ogden, UT 84403-1947
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Ogden, UT
- NPI 1417520602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626998400000",
"number": "1225601412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3828 QUINCY AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3828 QUINCY AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031947",
"telephone_number": "801-822-1450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAINSIDE SPEECH THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "801-822-1450",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.