NPIMap

Organization Active NPI

Dream Catcher Pediatric Therapy Services, Inc.

  • Speech-Language Pathologist
  • Watkinsville, GA
National Provider Identifier
1366569543
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP001795 Issued in GA
Legal business name
DREAM CATCHER PEDIATRIC THERAPY SERVICES, INC.
Practice address
22 Durham St
Watkinsville, GA 30677-2423
Phone
(706) 255-9121
NPI assigned
Mar 23, 2007
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Catherine M. Vereen, CCC-SLP
Title
President
Phone
(706) 255-9121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004128 GA
Occupational Therapist 225X00000X OT005995 GA
Speech-Language Pathologist 235Z00000X SLP001795 GA Primary

Addresses

Primary practice location

22 Durham St
Watkinsville, GA 30677-2423

Mailing address

PO Box 1712
Watkinsville, GA 30677-0034
Phone (706) 255-9121

Other identifiers 2

IdentifierTypeStateIssuer
755557610BMedicaidGA
10044794OtherGAAMERIGROUP

National Provider Directory

National Provider Directory

Locations

22 Durham St
Watkinsville, GA 30677
Phone (706) 255-9121

Practitioners & affiliated clinicians

Practitioners 6

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1366569543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1712",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770034",
            "telephone_number": "706-255-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DURHAM ST",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772423",
            "telephone_number": "706-255-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM CATCHER PEDIATRIC THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "VEREEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-255-9121",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004128",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005995",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "755557610B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10044794",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.