Organization Active NPI

Mintz Speech Pathology, LLC

  • Hearing and Speech Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1396433652
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
MINTZ SPEECH PATHOLOGY, LLC
Doing business as
Philly Speech Services
Practice address
856 N 25TH St
Philadelphia, PA 19130-1834
Phone
(908) 917-0472
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Hallie E Mintz, MS, CCC-SLPNPI 1124463930
Title
Speech Language Pathologist
Phone
(908) 917-0472

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
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

856 N 25TH St
Philadelphia, PA 19130-1834

Mailing address

856 N 25TH St
Philadelphia, PA 19130-1834
Phone (908) 917-0472

Other names 1

  • Philly Speech Services Doing business as

National Provider Directory

National Provider Directory

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": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1396433652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 N 25TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301834",
            "telephone_number": "908-917-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 N 25TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301834",
            "telephone_number": "908-917-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTZ SPEECH PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "908-917-0472",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philly Speech Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.