Sea Glass Pediatric Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SEA GLASS PEDIATRIC THERAPY, LLC

Practice address

180 Nickerson St Ste 206
Seattle, WA 98109-1631

Phone

(206) 397-4389

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Megan McCrarenNPI 1790273431

Title

Owner

Phone

(847) 987-9944

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Megan McCraren

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1790273431
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1386353779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NICKERSON ST STE 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091631",
            "telephone_number": "206-397-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NICKERSON ST STE 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091631",
            "telephone_number": "206-397-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA GLASS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "MCCRAREN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-987-9944"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nate Scurich, L.M.T.
• Sea - Mar Community Health Center
• Sea - Mar Community Health Center
• Sea Change Therapy, PLLC
• Sea Consulting, Inc
• Sea Institute for Family Therapy LLC
• Sea Mar Community Health Center
• Sea Mar Community Health Centers
• Sea Mar Community Health Centers
• Sea Mar Community Health Centers

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.