Active NPI
Pediatric Speech-Language Services, LLC
- Speech-Language Pathologist
- Westfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00421900
- Legal business name
- PEDIATRIC SPEECH-LANGUAGE SERVICES, LLC
- Practice address
- 316 E Broad St
2ND Floor
Westfield, NJ 07090-2122 - Phone
- (908) 232-5501
- NPI assigned
- Jan 14, 2013
- Last updated
- Jan 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacqueline Shankle, MS CCC SLP
- Title
- Owner
- Phone
- (908) 232-5501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00421900 | NJ | Primary |
Addresses
Primary practice location
316 E Broad St
2ND Floor
Westfield, NJ 07090-2122
Mailing address
316 E Broad St
2ND Floor
Westfield, NJ 07090-2122
Phone (908) 232-5501
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Speech-Language Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hearing and Speech Clinic/Center
- Westfield, NJ
- NPI 1295028785
Locations
316 E Broad St
#2
Westfield, NJ 07090
Phone (908) 232-5501
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Westfield, NJ
- NPI 1366773715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358121600000",
"number": "1427395227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 E BROAD ST",
"address_2": "2ND FLOOR",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902122",
"telephone_number": "908-232-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 E BROAD ST",
"address_2": "2ND FLOOR",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902122",
"telephone_number": "908-232-5501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC SPEECH-LANGUAGE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A",
"authorized_official_last_name": "SHANKLE",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-232-5501",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS CCC SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00421900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.