NPIMap

Organization Active NPI

Madden Therapy Solutions, PLLC

  • Speech-Language Pathologist
  • St Petersburg, FL
National Provider Identifier
1669989562
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9459 Issued in FL
Legal business name
MADDEN THERAPY SOLUTIONS, PLLC
Practice address
10901 Roosevelt Blvd N Ste 800
St Petersburg, FL 33716-2305
Phone
(727) 240-6209
Fax
(727) 674-2545
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Kristina Madden Baum, MSNPI 1457541815
Title
Speech Language Pathologist
Phone
(727) 240-6209

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X 238357 FL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA9459 FL Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

10901 Roosevelt Blvd N Ste 800
St Petersburg, FL 33716-2305

Mailing address

5919 Bayou Grande Blvd NE
St Petersburg, FL 33703-1821
Phone (727) 240-6209

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1669989562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 BAYOU GRANDE BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031821",
            "telephone_number": "727-240-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 ROOSEVELT BLVD N STE 800",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162305",
            "telephone_number": "727-240-6209",
            "fax_number": "727-674-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDEN THERAPY SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MADDEN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "727-240-6209",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "238357",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9459",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.