NPIMap

Organization Active NPI

Crystal Academy

  • Speech-Language Pathologist
  • Coral Gables, FL
National Provider Identifier
1457677783
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CRYSTAL ACADEMY
Practice address
110 Phoenetia Ave
Coral Gables, FL 33134-3312
Phone
(305) 567-5881
Fax
(395) 567-5882
NPI assigned
Apr 12, 2010
Last updated
Apr 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
David Pike
Title
Managing Member
Phone
(305) 447-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X FL Primary

Addresses

Primary practice location

110 Phoenetia Ave
Coral Gables, FL 33134-3312

Mailing address

110 Phoenetia Ave
Coral Gables, FL 33134-3312
Phone (305) 567-5881

National Provider Directory

National Provider Directory
Tax ID family
Crystal Academy2 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.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1457677783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PHOENETIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343312",
            "telephone_number": "305-567-5881",
            "fax_number": "395-567-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PHOENETIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343312",
            "telephone_number": "305-567-5881",
            "fax_number": "395-567-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-447-2332"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.