Organization Active NPI

Kideology LTD

  • Speech-Language Pathologist
  • Henderson, NV
National Provider Identifier
1396172177
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KIDEOLOGY LTD
Practice address
2520 Saint Rose Pkwy
Suite 104
Henderson, NV 89074-7783
Phone
(702) 508-0908
Fax
(702) 508-9203
NPI assigned
Oct 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Sarah Cwiak
Title
Director
Phone
(702) 508-0908

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2520 Saint Rose Pkwy
Suite 104
Henderson, NV 89074-7783

Mailing address

2520 Saint Rose Pkwy
Suite 104
Henderson, NV 89074-7783
Phone (702) 508-0908

National Provider Directory

National Provider Directory

Locations

2520 Saint Rose Pkwy
Ste 104
Henderson, NV 89074
Phone (702) 508-0908

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1396172177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY",
            "address_2": "SUITE 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747783",
            "telephone_number": "702-508-0908",
            "fax_number": "702-508-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY",
            "address_2": "SUITE 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747783",
            "telephone_number": "702-508-0908",
            "fax_number": "702-508-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDEOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "CWIAK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-508-0908",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.