NPIMap

Organization Active NPI

Kidmunicate

  • Speech-Language Pathologist
  • Wayne, PA
National Provider Identifier
1558608802
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL003599L
Legal business name
KIDMUNICATE
Practice address
489 Devon Park Drive
Suite 301
Wayne, PA 19087
Phone
(484) 367-7131
Fax
(484) 367-7148
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Debra A Sampson
Title
Managing Director
Phone
(484) 367-7131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SL003599L Primary

Addresses

Primary practice location

489 Devon Park Drive
Suite 301
Wayne, PA 19087

Mailing address

489 Devon Park Drive,
Suite 301
Wayne, PA 19087
Phone (484) 367-7131

National Provider Directory

National Provider Directory

Locations

489 Devon Park Dr
Ste 301
Wayne, PA 19087

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1558608802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 DEVON PARK DRIVE,",
            "address_2": "SUITE 301",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "484-367-7131",
            "fax_number": "484-367-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 DEVON PARK DRIVE",
            "address_2": "SUITE 301",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "484-367-7131",
            "fax_number": "484-367-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDMUNICATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "484-367-7131"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "SL003599L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.