NPIMap

Organization Active NPI

Menno Haven Speech Therapy

  • Speech-Language Pathologist
  • Chambersburg, PA
National Provider Identifier
1639489677
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MENNO HAVEN SPEECH THERAPY
Practice address
2075 Scotland Ave
Chambersburg, PA 17201-1451
Phone
(717) 263-6620
Fax
(717) 263-1145
NPI assigned
Oct 8, 2010
Organization subpart
Yes
Parent organization
MENNO HAVEN, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Tim Johnson
Title
Chief Operating Officer
Phone
(717) 263-8545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2075 Scotland Ave
Chambersburg, PA 17201-1451

Mailing address

2075 Scotland Ave
Chambersburg, PA 17201-1451
Phone (717) 263-6620

National Provider Directory

National Provider Directory
Tax ID family
Menno Haven Inc7 organizations share this tax ID, including this one
Part of
Menno Haven Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1639489677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SCOTLAND AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011451",
            "telephone_number": "717-263-6620",
            "fax_number": "717-263-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SCOTLAND AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011451",
            "telephone_number": "717-263-6620",
            "fax_number": "717-263-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNO HAVEN SPEECH THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENNO HAVEN, INC",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "717-263-8545"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.