Department of Communication

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DEPARTMENT OF COMMUNICATION

Practice address

417 Wakara Way
#1112
Salt Lake City, UT 84108-1448

Phone

(801) 581-3506

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Ellen Carter

Title

Billing Supervisor

Phone

(801) 587-9447

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Speech, Language Hearing Clinic Other name

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1245338920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 WAKARA WAY",
            "address_2": "#1112",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081448",
            "telephone_number": "801-581-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 WAKARA WAY",
            "address_2": "#1112",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081448",
            "telephone_number": "801-581-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF COMMUNICATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "801-587-9447"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MEDICAID",
            "identifier": "121638400",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000525138",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAH MEDICAID",
            "identifier": "801209200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech, Language Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Speech, Language Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Speech, Language Hearing Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stamatios George Manolakas Dentino, M. D.
• Linda Marie Denton, RN
• Amrit K. Deol, MD
• Stephanie R Depaoli, LCSW
• Department of Anesthesiology Perioperative Echo
• Department of Human Services, System of Care
• Department of Neurology School of Medicine University of Utah
• Department of Ophthalmology
• Department of Ophthalmology - Pediatric Division
• Department of Pediatrics University of Utah

• Speech-Language Pathologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.