Treasure Chat Therapy Center, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10399 Issued in FL

Legal business name

TREASURE CHAT THERAPY CENTER, INC.

Practice address

8306 Commerce Way
138
Miami Lakes, FL 33016-1608

Phone

(305) 501-0450

Fax

(786) 364-1010

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Gonzalez, M.S. CCC-SLP

Title

Speech Pathologist/Director

Phone

(305) 501-0450

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1386062891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 COMMERCE WAY",
            "address_2": "138",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161608",
            "telephone_number": "305-501-0450",
            "fax_number": "786-364-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 COMMERCE WAY",
            "address_2": "138",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161608",
            "telephone_number": "305-501-0450",
            "fax_number": "786-364-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE CHAT THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "SPEECH  PATHOLOGIST/DIRECTOR",
        "authorized_official_telephone_number": "305-501-0450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001107200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.