Organization Active NPI

Speech Time

  • Early Intervention Provider Agency
  • Deerfield, IL
National Provider Identifier
1407395627
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SPEECH TIME
Practice address
65 Mulberry East Rd
Deerfield, IL 60015-5059
Phone
(847) 420-3721
Fax
(847) 423-6187
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Carly Rachael Gross
Title
Speech/Language Pathologist
Phone
(847) 420-3721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 146008973 IL
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

65 Mulberry East Rd
Deerfield, IL 60015-5059

Mailing address

65 Mulberry East Rd
Deerfield, IL 60015-5059

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": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1407395627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MULBERRY EAST RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MULBERRY EAST RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155059",
            "telephone_number": "847-420-3721",
            "fax_number": "847-423-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH TIME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "RACHAEL",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-420-3721"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "146008973",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.