Sprout Speech PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPROUT SPEECH PLLC

Practice address

6725 Clyde St
Forest Hills, NY 11375-4056

Phone

(718) 757-5687

NPI assigned

May 9, 2025

Organization subpart

No

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

Authorized official

Name

Kelly Chan, CCC-SLPNPI 1902271372

Title

Owner

Phone

(718) 757-5687

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Chan

  • Speech-Language Pathologist
  • Whitestone, NY
  • NPI 1902271372
  NPD Authorized official

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1497545693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 CLYDE ST APT 7B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754013",
            "telephone_number": "718-757-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 CLYDE ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754056",
            "telephone_number": "718-757-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT SPEECH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-757-5687",
        "authorized_official_credential": "CCC-SLP"
    },
    "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 Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.