Ellenbecker and Borsellino PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ELLENBECKER AND BORSELLINO PLLC

Practice address

513 Salt Lick TRL
Goodlettsville, TN 37072-3321

Phone

(702) 203-7504

Fax

(702) 201-1431

NPI assigned

May 18, 2008

Organization subpart

No

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

Authorized official

Name

Angie Dawn EllenbeckerNPI 1457518417

Title

Owner

Phone

(615) 596-1830

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Talk to Me Speech Therapy Doing business as

Tax ID family

Ellenbecker and Borsellino PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ellenbecker and Borsellino PLLC

  • Speech-Language Pathologist
  • Madison, TN
  • NPI 1215499447
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ellenbecker and Borsellino PLLC

  • Speech-Language Pathologist
  • Madison, TN
  • NPI 1215499447
  NPPES parent name

Practitioners 2

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

• Angie Dawn Ellenbecker, SLP

  • Speech-Language Pathologist
  • Madison, TN
  • NPI 1457518417
  NPD Authorized official
• Jennifer Erin Kiersz, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1942413133
  NPD (past)

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669639753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4894 W LONE MOUNTAIN RD # 176",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-203-7504",
            "fax_number": "702-201-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 SALT LICK TRL",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723321",
            "telephone_number": "702-203-7504",
            "fax_number": "702-201-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5008 Cascade Pools Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891313626",
            "country_code": "US",
            "telephone_number": "702-610-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELLENBECKER AND BORSELLINO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELLENBECKER",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-596-1830"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457518417",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Talk to Me Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Talk to Me Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah Eggar, LAC
• Patrice C. Elder, ATC
• Elderberry Psychiatric Consulting
• Melody Ann Elias, H.I.S.
• Elite Care Services, LLC
• Celisa Monica Ellis, LMT
• Michael C Ellis, M.D.
• William Steven Emery, DDS
• Alan Steven Ericksen, M.D.
• Eric Ethridge, DC

• Speech-Language Pathologist in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.