NPIMap

Organization Active NPI

Confident Kids Therapy LLC

Doing business as Confident Kids Speech Therapy

  • Speech-Language Pathologist
  • Sugar Land, TX
National Provider Identifier
1245705268
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CONFIDENT KIDS THERAPY LLC
Doing business as
Confident Kids Speech Therapy
Practice address
2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988
Phone
(281) 616-3839
Fax
(346) 299-5196
NPI assigned
Oct 5, 2018
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Melody Carol Haryanto, M.A., CCC/SLP ASDCSNPI 1215174271
Title
Clinical Director / Owner
Phone
(281) 616-3839

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988

Mailing address

2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988
Phone (281) 616-3839

Other names 1

  • Confident Kids Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2743 Imperia Dr
Ste 103
Sugar Land, TX 77479
Phone (281) 616-3839

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1245705268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "281-616-3839",
            "fax_number": "346-299-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "281-616-3839",
            "fax_number": "346-299-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENT KIDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "HARYANTO",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "281-616-3839",
        "authorized_official_credential": "M.A., CCC/SLP ASDCS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confident Kids Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

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