NPIMap

Organization Active NPI

Kid Talk Inc

  • Speech-Language Pathologist
  • New Lenox, IL
National Provider Identifier
1295726164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KID TALK INC
Practice address
346 Alana Dr
New Lenox, IL 60451-1784
Phone
(815) 462-0514
Fax
(815) 462-3993
NPI assigned
Oct 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carol A Dietel
Title
Office Manager
Phone
(815) 462-0514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X IL Primary

Addresses

Primary practice location

346 Alana Dr
New Lenox, IL 60451-1784

Mailing address

346 Alana Dr
New Lenox, IL 60451-1784
Phone (815) 462-0514

National Provider Directory

National Provider Directory

Locations

346 Alana Dr
New Lenox, IL 60451
Phone (815) 462-0514

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295726164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511784",
            "telephone_number": "815-462-0514",
            "fax_number": "815-462-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511784",
            "telephone_number": "815-462-0514",
            "fax_number": "815-462-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID TALK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETEL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-462-0514",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.