Active NPI
Mount Saint Clare Speech and Hearing Center Inc
- Speech-Language Pathologist
- Clinton, IA
National Provider Identifier
1295716017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00085
- Legal business name
- MOUNT SAINT CLARE SPEECH AND HEARING CENTER INC
- Practice address
- 562 N Bluff Blvd
Clinton, IA 52732 - Phone
- (563) 242-4070
- Fax
- (563) 242-2426
- NPI assigned
- Nov 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Marie Narlock, MS SPEECH PATHOLOGY
- Title
- Director
- Phone
- (563) 242-4070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00085 | IA | Primary |
Addresses
Primary practice location
562 N Bluff Blvd
Clinton, IA 52732
Mailing address
PO Box 361
Clinton, IA 52733-0361
Phone (563) 242-5316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66526 | Other | IA | BCBS |
| 0665265 | Medicaid | IA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Clinton, IA
- NPI 1962605592
-
- Speech-Language Pathologist
- Clinton, IA
- NPI 1205943875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348790400000",
"number": "1295716017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361",
"city": "CLINTON",
"state": "IA",
"postal_code": "527330361",
"telephone_number": "563-242-5316",
"fax_number": "563-242-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 N BLUFF BLVD",
"city": "CLINTON",
"state": "IA",
"postal_code": "52732",
"telephone_number": "563-242-4070",
"fax_number": "563-242-2426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT SAINT CLARE SPEECH AND HEARING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-09",
"last_updated": "2012-09-28",
"status": "A",
"authorized_official_last_name": "NARLOCK",
"authorized_official_first_name": "MARCELLA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "563-242-4070",
"authorized_official_credential": "MS SPEECH PATHOLOGY"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "00085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "66526",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665265",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.