Active NPI
Emma Marie Boat, MA
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1417520438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242006471
- Practice address
- 1422 W Willow St Ste 101
Chicago, IL 60642-8977 - Phone
- (312) 399-0370
- NPI assigned
- Jul 19, 2021
- Last updated
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242006471 | IL | Primary |
Addresses
Primary practice location
1422 W Willow St Ste 101
Chicago, IL 60642-8977
Mailing address
418 Richards St
Geneva, IL 60134-1259
Phone (630) 379-9271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242006471 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Strategies, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Communication Clubhouse
- Counselor
- Downers Grove, IL
- NPI 1346316593
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1417520438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 RICHARDS ST",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341259",
"telephone_number": "630-379-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 W WILLOW ST STE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606428977",
"telephone_number": "312-399-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAT",
"first_name": "EMMA",
"middle_name": "MARIE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242006471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Board of Trustees of the University of Illinois (UIMC Reference Lab Professional Group)
- Board of Trustees of the University of Illinois (Young Women's Leadership Charter IHH)
- Board of Trustees of the University of Illinois (Integrated Health Care - Aviva IHH)
- Board of Trustees of the University of Illinois
- Amy E Board, LCSW
- Evelyn Boateng
- Kathryn E Boatwright, DPT
- Patricia Mary Boatwright, M.D.,
- Jessica Bobadilla, LCSW
- Jonathan Bobadilla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.