Individual provider Active NPI

Marci D Chaves, MS CCC-SLP

  • Speech-Language Pathologist
  • Wellington, FL
National Provider Identifier
1235198102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7781 Issued in FL
Practice address
2325 Wellington Green Dr
Apt 5-201
Wellington, FL 33414-9315
Phone
(561) 790-3709
NPI assigned
Mar 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA7781 FL Primary

Addresses

Primary practice location

2325 Wellington Green Dr
Apt 5-201
Wellington, FL 33414-9315

Mailing address

2325 Wellington Green Dr
Apt 5-201
Wellington, FL 33414-9315
Phone (561) 790-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190816000462 FL Practitioner - Qualified Speech Language Pathologist 7214264050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12773 W Forest Hill Blvd
Suite 206
Wellington, FL 33414-4762
Phone (561) 790-1864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA7781FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcimouth Speech and Language Services, Inc. Speech-Language Pathologist CurrentSince Aug 13, 2019 Accepting new patients

Locations

12773 Forest Hill Blvd
Ste 206
Wellington, FL 33414
Phone (561) 790-1864

Organizations & group practices 1

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235198102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 WELLINGTON GREEN DR",
            "address_2": "APT 5-201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149315",
            "telephone_number": "561-790-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 WELLINGTON GREEN DR",
            "address_2": "APT 5-201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149315",
            "telephone_number": "561-790-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVES",
        "first_name": "MARCI",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.