NPIMap

Organization Active NPI

Playworks Center for Development and Learning, Inc.

  • Speech-Language Pathologist
  • Redlands, CA
National Provider Identifier
1669529871
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10010 Issued in CA
Legal business name
PLAYWORKS CENTER FOR DEVELOPMENT AND LEARNING, INC.
Practice address
112 11TH St
Redlands, CA 92374-3566
Phone
(909) 792-0543
Fax
(909) 792-0546
NPI assigned
Jan 3, 2007
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Ms. Kelli Ann Wilms, M.S. CCC-SLPNPI 1689012130
Title
Director/Speech/Language Pathologis
Phone
(909) 792-0543

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT6314 CA
Speech-Language Pathologist 235Z00000X SP10010 CA Primary

Addresses

Primary practice location

112 11TH St
Redlands, CA 92374-3566

Mailing address

112 11TH St
Redlands, CA 92374-3566
Phone (909) 792-0543

National Provider Directory

National Provider Directory

Locations

112 11th St
Redlands, CA 92374
Phone (909) 792-0543

Practitioners & affiliated clinicians

Practitioners 8

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1669529871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 11TH ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743566",
            "telephone_number": "909-792-0543",
            "fax_number": "909-792-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 11TH ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743566",
            "telephone_number": "909-792-0543",
            "fax_number": "909-792-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYWORKS CENTER FOR DEVELOPMENT AND LEARNING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "WILMS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR/SPEECH/LANGUAGE PATHOLOGIS",
        "authorized_official_telephone_number": "909-792-0543",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT6314",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.