Organization Active NPI

Childrens Speech and Language Center

  • Speech-Language Pathologist
  • Severna Park, MD
National Provider Identifier
1689430191
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILDRENS SPEECH AND LANGUAGE CENTER
Practice address
815 Ritchie Hwy Ste 118
Severna Park, MD 21146-4192
Phone
(410) 975-5863
Fax
(410) 630-3857
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Alysa Christiano, M.S., CCC-SLP
Title
Administrator
Phone
(585) 415-2590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

815 Ritchie Hwy Ste 118
Severna Park, MD 21146-4192

Mailing address

772 Eastern Point Rd
Annapolis, MD 21401-6945
Phone (585) 415-2590

National Provider Directory

National Provider Directory

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": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1689430191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 EASTERN POINT RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016945",
            "telephone_number": "585-415-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 RITCHIE HWY STE 118",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464192",
            "telephone_number": "410-975-5863",
            "fax_number": "410-630-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS SPEECH AND LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANO",
        "authorized_official_first_name": "ALYSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "585-415-2590",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.