NPIMap

Organization Active NPI

Clearspeech Speech and Language

  • Speech-Language Pathologist
  • Beltsville, MD
National Provider Identifier
1407086689
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
03681 Issued in MD
Legal business name
CLEARSPEECH SPEECH AND LANGUAGE
Practice address
10714 Baltimore Ave
Beltsville, MD 20705-2112
Phone
(240) 542-4420
Fax
(240) 542-4434
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Ms. Ruth Elaine Boyd, SLP-CCCNPI 1770721805
Title
Speech Pathologist
Phone
(301) 802-3859

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 03681 MD Primary
Hearing and Speech Clinic/Center 261QH0700X 03681 MD

Addresses

Primary practice location

10714 Baltimore Ave
Beltsville, MD 20705-2112

Mailing address

4105 Briggs Chaney Rd
Beltsville, MD 20705-1040
Phone (301) 802-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090915000819 DC Part B Supplier - Clinic/Group Practice 6002962172 Receives reassigned benefits from 1 practitioner
Practice locations: Beltsville, MD

National Provider Directory

National Provider Directory

Locations

5020 Sunnyside Ave
Ste 214
Beltsville, MD 20705
Phone (240) 476-2099

10714 Baltimore Ave
Beltsville, MD 20705
Phone (240) 542-4420

Practitioners & affiliated clinicians

Practitioners 6

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": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1407086689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 BRIGGS CHANEY RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051040",
            "telephone_number": "301-802-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 BALTIMORE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052112",
            "telephone_number": "240-542-4420",
            "fax_number": "240-542-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSPEECH SPEECH AND LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "301-802-3859",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03681",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MD",
            "license": "03681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.