NPIMap

Organization Active NPI

Fundamental Speech Therapy Services Inc.

  • Hearing and Speech Clinic/Center
  • Douglasville, GA
National Provider Identifier
1649680141
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
0005319 Issued in GA
Legal business name
FUNDAMENTAL SPEECH THERAPY SERVICES INC.
Practice address
2562 Fairburn Rd
Douglasville, GA 30135-1461
Phone
(770) 317-5993
NPI assigned
May 6, 2014
Organization subpart
Yes
Parent organization
FUNDAMENTAL SPEECH THERAPY SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Labrita Jeanene Cash-Baskett, CCC-SLP
Title
President/Owner
Phone
(770) 317-5993

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Augmentative Communication Clinic/Center 261QA3000X 0005319 GA
Hearing and Speech Clinic/Center 261QH0700X 0005319 GA Primary

Addresses

Primary practice location

2562 Fairburn Rd
Douglasville, GA 30135-1461

Mailing address

1015 Bridge Mill Ave
Canton, GA 30114-7797
Phone (770) 317-5993

Other names 1

  • Fundamental Focus Doing business as

National Provider Directory

National Provider Directory
Part of
Fundamental Speech Therapy Services Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1649680141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BRIDGE MILL AVE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147797",
            "telephone_number": "770-317-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 FAIRBURN RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351461",
            "telephone_number": "770-317-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL SPEECH THERAPY SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FUNDAMENTAL SPEECH THERAPY SERVICES INC.",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "CASH-BASKETT",
        "authorized_official_first_name": "LABRITA",
        "authorized_official_middle_name": "JEANENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-317-5993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": "GA",
            "license": "0005319",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "0005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fundamental Focus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.