Organization Active NPI

Speech Warrior Speech Therapy, LLC

  • Speech-Language Pathologist
  • Westwood, NJ
National Provider Identifier
1407573959
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH WARRIOR SPEECH THERAPY, LLC
Doing business as
Speech Warrior Speech Therapy,LLC
Practice address
99 Kinderkamack Rd Ste 303
Westwood, NJ 07675-3012
Phone
(201) 300-7360
Fax
(201) 497-3255
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Colleen P Tierney, CCC-SLPNPI 1235761313
Title
Speech Pathologist/Owner
Phone
(201) 300-7360

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
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

99 Kinderkamack Rd Ste 303
Westwood, NJ 07675-3012

Mailing address

99 Kinderkamack Rd Ste 303
Westwood, NJ 07675-3012
Phone (201) 300-7360

Other names 1

  • Speech Warrior Speech Therapy,LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Speech Warrior Speech Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

99 Kinderkamack Rd
Ste 303
Westwood, NJ 07675
Phone (201) 300-7360

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": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1407573959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 303",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "201-300-7360",
            "fax_number": "201-497-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 303",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "201-300-7360",
            "fax_number": "201-497-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH WARRIOR SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "201-300-7360",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Warrior Speech Therapy,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.