NPIMap

Organization Active NPI

Communication Builders Therapeutic Services, LLC

  • Speech-Language Pathologist
  • Temple Hills, MD
National Provider Identifier
1699026997
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
06555 Issued in MD
Legal business name
COMMUNICATION BUILDERS THERAPEUTIC SERVICES, LLC
Practice address
3507 Dixon St
Temple Hills, MD 20748-4214
Phone
(301) 485-9302
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Mrs. Olisa Sandidge, MS, CCC-SLP
Title
Owner
Phone
(301) 485-9302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 06555 MD Primary

Addresses

Primary practice location

3507 Dixon St
Temple Hills, MD 20748-4214

Mailing address

3507 Dixon St
Temple Hills, MD 20748-4214
Phone (301) 485-9302

Other identifiers 1

IdentifierTypeStateIssuer
33590101MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1699026997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 DIXON ST",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484214",
            "telephone_number": "301-485-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 DIXON ST",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484214",
            "telephone_number": "301-485-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICATION BUILDERS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "SANDIDGE",
        "authorized_official_first_name": "OLISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-485-9302",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33590101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.