NPIMap

Organization Active NPI

Specialized Speech Center, Inc.

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1346213576
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4906 Issued in FL
Legal business name
SPECIALIZED SPEECH CENTER, INC.
Practice address
3335 N University Dr
Suite 5
Hollywood, FL 33024-2200
Phone
(954) 442-9422
Fax
(954) 442-9150
NPI assigned
Feb 8, 2006
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
John Tambasco, MS/CCC-SLPNPI 1770688681
Title
Vice-President
Phone
(954) 442-9422

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
Occupational Therapist 225X00000X OT11451 FL
Speech-Language Pathologist 235Z00000X SA4906 FL Primary

Addresses

Primary practice location

3335 N University Dr
Suite 5
Hollywood, FL 33024-2200

Mailing address

3335 N University Dr
Suite 5
Hollywood, FL 33024-2200
Phone (954) 442-9422

Other identifiers 7

IdentifierTypeStateIssuer
S1795OtherFLBC/BS OF FL
2015424OtherFLAETNA
884371600MedicaidFL
T0757OtherFLBC/BS
830087900MedicaidFL
883785600MedicaidFL
884449600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Specialized Speech Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1346213576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 N UNIVERSITY DR",
            "address_2": "SUITE 5",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242200",
            "telephone_number": "954-442-9422",
            "fax_number": "954-442-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 N UNIVERSITY DR",
            "address_2": "SUITE 5",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242200",
            "telephone_number": "954-442-9422",
            "fax_number": "954-442-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SPEECH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "TAMBASCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "954-442-9422",
        "authorized_official_credential": "MS/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11451",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FL",
            "identifier": "S1795",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2015424",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884371600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "T0757",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830087900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883785600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884449600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.