Organization Active NPI

Emerald City Therapies, PLLC

  • Speech-Language Pathologist
  • Waxahachie, TX
National Provider Identifier
1417511692
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EMERALD CITY THERAPIES, PLLC
Practice address
1002 Legacy Ranch Rd Ste 104
Waxahachie, TX 75165-1293
Phone
(214) 980-1397
Fax
(469) 340-4074
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Melanie Dawn Reynolds, CCC-SLPNPI 1801395900
Title
Owner/Speech Language Pathologist
Phone
(214) 679-0235

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1002 Legacy Ranch Rd Ste 104
Waxahachie, TX 75165-1293

Mailing address

1002 Legacy Ranch Rd Ste 104
Waxahachie, TX 75165-1293
Phone (214) 980-1397

National Provider Directory

National Provider Directory

Locations

102 Ymca Dr
Ste E
Waxahachie, TX 75165
Phone (214) 949-0373

1002 Legacy Ranch Rd
Ste 104
Waxahachie, TX 75165
Phone (214) 399-8849

Practitioners & affiliated clinicians

Practitioners 3

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": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1417511692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LEGACY RANCH RD STE 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "214-980-1397",
            "fax_number": "469-340-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LEGACY RANCH RD STE 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "214-980-1397",
            "fax_number": "469-340-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CITY THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "214-679-0235",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "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 Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.