NPIMap

Organization Active NPI

Central Texas Speech Pathology Services, Inc

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1629158258
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CENTRAL TEXAS SPEECH PATHOLOGY SERVICES, INC
Practice address
2525 Wallingwood
BLDG #2
Austin, TX 78746-6900
Phone
(512) 327-6179
Fax
(512) 327-1545
NPI assigned
Oct 17, 2006
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Ms. Lisa Famiglietti, MS CCCSLPANPI 1720183429
Title
Owner Director
Phone
(512) 327-6179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2525 Wallingwood
BLDG #2
Austin, TX 78746-6900

Mailing address

2525 Wallingwood
BLDG #2
Austin, TX 78746
Phone (512) 327-6179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090828000255 TX Part B Supplier - Clinic/Group Practice 3678628583 Receives reassigned benefits from 10 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2525 Wallingwood Dr
Bldg 2
Austin, TX 78746
Phone (512) 327-6179

8500 Bluffstone Cv
Bldg B
Austin, TX 78759

8500 Bluffstone Cv
Bldg BSTE105
Austin, TX 78759

8500 Bluffstone Cv
Ste B105
Austin, TX 78759
Phone (512) 327-6179

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1629158258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD",
            "address_2": "BLDG #2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-327-6179",
            "fax_number": "512-327-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD",
            "address_2": "BLDG #2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900",
            "telephone_number": "512-327-6179",
            "fax_number": "512-327-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS SPEECH PATHOLOGY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "FAMIGLIETTI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "512-327-6179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCCSLPA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.