Organization Active NPI

Charm City Brains LLC

  • Speech-Language Pathologist
  • Parkville, MD
National Provider Identifier
1295525459
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHARM CITY BRAINS LLC
Practice address
44 Strabane CT
Parkville, MD 21234-1609
Phone
(443) 801-8224
NPI assigned
May 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Authorized official

Name
Theresa J Alexander, CCC-SLPNPI 1770396616
Title
Speech-Language Pathologist, Owner
Phone
(443) 801-8224

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

44 Strabane CT
Parkville, MD 21234-1609

Mailing address

44 Strabane CT
Parkville, MD 21234-1609
Phone (443) 801-8224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250527001858 MD Part B Supplier - Clinic/Group Practice 3173042884 Receives reassigned benefits from 1 practitioner
Practice locations: Parkville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746835200000",
    "number": "1295525459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STRABANE CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341609",
            "telephone_number": "443-801-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STRABANE CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341609",
            "telephone_number": "443-801-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY BRAINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-10",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST,  OWNER",
        "authorized_official_telephone_number": "443-801-8224",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.