Coral Therapy Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CORAL THERAPY INC

Practice address

1571 W Grove St
Addison, IL 60101-5769

Phone

(847) 529-4339

Fax

(630) 625-6015

NPI assigned

Jun 7, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Anjelica Sierra, MHS., CCC-SLPNPI 1851644249

Title

President

Phone

(847) 529-4339

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anjelica Sierra, SLP

  • Speech-Language Pathologist
  • Melrose Park, IL
  • NPI 1851644249
  NPD Authorized official

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1285293886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 W GROVE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015769",
            "telephone_number": "847-529-4339",
            "fax_number": "630-625-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 W GROVE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015769",
            "telephone_number": "847-529-4339",
            "fax_number": "630-625-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "ANJELICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-529-4339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHS., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Addison, IL
• Providers in Addison, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.