Active NPI
Kendall Speech and Language Center
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1386713592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 355919-3
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00409615 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Kendall Speech and Language Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Miami, FL
- NPI 1356743686
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.