Active NPI
Speech Baby LLC
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1639624836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL011432
- Legal business name
- SPEECH BABY LLC
- Practice address
- 222 Church St
2G
Philadelphia, PA 19106-4521 - Phone
- (267) 400-6816
- NPI assigned
- Aug 18, 2016
- 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
- Jamie C Boyle, M.S., CCC-SLP
- Title
- Ceo
- Phone
- (267) 400-6816
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL011432 | PA | Primary |
Addresses
Primary practice location
222 Church St
2G
Philadelphia, PA 19106-4521
Mailing address
222 Church St
2G
Philadelphia, PA 19106-4521
Phone (267) 400-6816
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Philadelphia, PA
- NPI 1801182316
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": "1471478400000",
"number": "1639624836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 CHURCH ST",
"address_2": "2G",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064521",
"telephone_number": "267-400-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 CHURCH ST",
"address_2": "2G",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064521",
"telephone_number": "267-400-6816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH BABY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "BOYLE",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-400-6816",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL011432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.