Cynthia S. Conklin, M.S, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 8825 Issued in FL

Practice address

600 W North Blvd
Suite D
Leesburg, FL 34748-5063

Phone

(352) 787-9300

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Coast Therapy Services Outpatient IncGroup PAC ID 6800705062, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Coast Therapy Services Outpatient Inc

  • Physical Medicine & Rehabilitation Physician
  • Lady Lake, FL
  • NPI 1104889260
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1639366982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 SE 90TH AVE",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344913410",
            "telephone_number": "352-787-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W NORTH BLVD",
            "address_2": "SUITE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485063",
            "telephone_number": "352-787-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "CYNTHIA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.S, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Centers Inc
• Community Health Centers, Inc
• Community Health Centers, Inc
• Compassionate Presence Therapy, LLC
• Frances L. Conde, DMD
• Connect Hearing, Inc.
• Beverly D Connolly, PA C
• Consuello Pickard (Serene Loving Care)
• Convenient Virtucare
• Jewell Marie Conway, NP-C

• Speech-Language Pathologist in Leesburg, FL
• Providers in Leesburg, 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 Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.