Organization Active NPI

Kendall Speech and Language Center

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1386713592
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
355919-3 Issued in FL
Legal business name
KENDALL SPEECH AND LANGUAGE CENTER
Practice address
10725 SW 104TH St
Miami, FL 33176-8162
Phone
(305) 274-7883
Fax
(305) 274-4271
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Mrs. Wendy J. Nottoli, M.A.,CCC, BCABA
Title
Director
Phone
(305) 274-7883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 355919-3 FL Primary

Addresses

Primary practice location

10725 SW 104TH St
Miami, FL 33176-8162

Mailing address

10725 SW 104TH St
Miami, FL 33176-8162
Phone (305) 274-7883

Other identifiers 1

IdentifierTypeStateIssuer
00409615MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Kendall Speech and Language 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.

Locations

10725 SW 104th St
Miami, FL 33176
Phone (305) 274-7883

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1386713592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768162",
            "telephone_number": "305-274-7883",
            "fax_number": "305-274-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768162",
            "telephone_number": "305-274-7883",
            "fax_number": "305-274-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL SPEECH AND LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "NOTTOLI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-274-7883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,CCC, BCABA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "355919-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00409615",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.