Active NPI
Small Talk Speech and Language Therapy, Inc.
- Speech-Language Pathologist
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S3363
- Legal business name
- SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.
- Practice address
- 125 N 6TH St
McComb, MS 39648 - Phone
- (601) 754-4524
- NPI assigned
- Aug 18, 2016
- Last updated
- Aug 14, 2018
- 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
- Shamona P Miller
- Title
- Owner/Speech Language Pathologist
- Phone
- (601) 754-4524
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 | S3363 | MS | Primary |
Addresses
Primary practice location
125 N 6TH St
McComb, MS 39648
Mailing address
2085 Robb Street Ext W
Summit, MS 39666-7048
Phone (601) 754-4524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07201256 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Small Talk Speech and Language Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- McComb, MS
- NPI 1992170781
Locations
125 N 6th St
McComb, MS 39648
Phone (601) 754-4524
125 N 6th St
Ste B
McComb, MS 39648
Phone (601) 324-3324
Practitioners & affiliated clinicians
Practitioners 2
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
- Summit, MS
- NPI 1952635120
-
- Speech-Language Pathologist
- Summit, MS
- NPI 1588233753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534204800000",
"number": "1528513678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 ROBB STREET EXT W",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396667048",
"telephone_number": "601-754-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N 6TH ST",
"city": "MCCOMB",
"state": "MS",
"postal_code": "39648",
"telephone_number": "601-754-4524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2018-08-14",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "SHAMONA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "601-754-4524"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S3363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07201256",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.