My Kid Speech Club Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MY KID SPEECH CLUB INC

Practice address

49 NW 17TH St
Homestead, FL 33030-3210

Phone

(786) 349-4700

Fax

(786) 349-4862

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Grettel Castillo

Title

President

Phone

(786) 349-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1467038737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 NW 17TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303210",
            "telephone_number": "786-349-4700",
            "fax_number": "786-349-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 NW 17TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303210",
            "telephone_number": "786-349-4700",
            "fax_number": "786-349-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KID SPEECH CLUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GRETTEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-349-4700"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Homestead, FL
• Providers in Homestead, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.