Organization Active NPI

Social Butterfly Therapies LLC

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1386190767
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3364 Issued in NM
Legal business name
SOCIAL BUTTERFLY THERAPIES LLC
Practice address
325 Candelaria Rd NE
Suite B
Albuquerque, NM 87107-2231
Phone
(505) 503-8934
Fax
(505) 503-8604
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Peggy L Chacon, M.A CCC-SLPNPI 1043346299
Title
Owner
Phone
(575) 642-3583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3364 NM Primary

Addresses

Primary practice location

325 Candelaria Rd NE
Suite B
Albuquerque, NM 87107-2231

Mailing address

PO Box 27437
Albuquerque, NM 87125-7437
Phone (505) 503-8934

Other identifiers 1

IdentifierTypeStateIssuer
56952783MedicaidNM

National Provider Directory

National Provider Directory

Locations

325 Candelaria Rd NE
Ste B
Albuquerque, NM 87107
Phone (505) 503-8934

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1386190767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27437",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871257437",
            "telephone_number": "505-503-8934",
            "fax_number": "505-503-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CANDELARIA RD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072231",
            "telephone_number": "505-503-8934",
            "fax_number": "505-503-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL BUTTERFLY THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-642-3583",
        "authorized_official_credential": "M.A CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56952783",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.