NPIMap

Organization Active NPI

Seraphim Children's Therapy

  • Rehabilitation Practitioner
  • Candler, NC
National Provider Identifier
1336437771
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
SERAPHIM CHILDREN'S THERAPY
Practice address
69 Wildflower Mountain TRL
Candler, NC 28715-5503
Phone
(828) 423-4090
Fax
(828) 633-0744
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Mrs. Sara P Mitchell, MS CCC-SLPNPI 1952446130
Title
Owner/President
Phone
(828) 423-4090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

69 Wildflower Mountain TRL
Candler, NC 28715-5503

Mailing address

69 Wildflower Mountain TRL
Candler, NC 28715-5503
Phone (828) 423-4090

National Provider Directory

National Provider Directory
Tax ID family
Seraphim Children's Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1336437771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WILDFLOWER MOUNTAIN TRL",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287155503",
            "telephone_number": "828-423-4090",
            "fax_number": "828-633-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WILDFLOWER MOUNTAIN TRL",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287155503",
            "telephone_number": "828-423-4090",
            "fax_number": "828-633-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPHIM CHILDREN'S THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "828-423-4090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Candler, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.