Organization Active NPI

Aac Institute Clinic

Doing business as ICAN Talk Clinic

  • Speech-Language Pathologist
  • Carnegie, PA
National Provider Identifier
1649587940
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006059L Issued in PA
Legal business name
AAC INSTITUTE CLINIC
Doing business as
ICAN Talk Clinic
Practice address
1100 Washington Ave Ste 317
Carnegie, PA 15106-3617
Phone
(412) 489-5527
Fax
(412) 489-5726
NPI assigned
Sep 8, 2010
Last updated
May 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Ms. Shannon Marie Carney
Title
Chief Operating Officer
Phone
(412) 489-5527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL006059L PA Primary

Addresses

Primary practice location

1100 Washington Ave Ste 317
Carnegie, PA 15106-3617

Mailing address

1100 Washington Ave Ste 317
Carnegie, PA 15106-3617
Phone (412) 489-5527

Other practice location 1

1401 Forbes Ave
Suite 303
Pittsburgh, PA 15219-5125
Phone (412) 402-0900

Other names 1

  • ICAN Talk Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000368 PA Part B Supplier - Clinic/Group Practice 9931363983 Receives reassigned benefits from 2 practitioners
Practice locations: Carnegie, PA

National Provider Directory

National Provider Directory

Locations

1100 Washington Ave
#317I
Carnegie, PA 15106
Phone (412) 489-5527

1100 Washington Ave
Ste 317
Carnegie, PA 15106
Phone (412) 439-7572

1401 Forbes Ave
Ste 303
Pittsburgh, PA 15219
Phone (412) 402-0900

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1649587940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON AVE STE 317",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151063617",
            "telephone_number": "412-489-5527",
            "fax_number": "412-489-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON AVE STE 317",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151063617",
            "telephone_number": "412-489-5527",
            "fax_number": "412-489-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Forbes Ave",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152195125",
            "country_code": "US",
            "telephone_number": "412-402-0900",
            "fax_number": "412-402-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AAC INSTITUTE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "412-489-5527",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006059L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICAN Talk Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICAN Talk Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carnegie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.