Active NPI
Roberta Scales, SLP/CCC
- Speech-Language Pathologist
- Stickney, IL
National Provider Identifier
1699286187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4100 Scoville Ave
Stickney, IL 60402-4428 - Phone
- (708) 783-4400
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4100 Scoville Ave
Stickney, IL 60402-4428
Mailing address
218 S Lincoln St
Hinsdale, IL 60521-4006
Phone (630) 546-8349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2017.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1699286187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 S LINCOLN ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605214006",
"telephone_number": "630-546-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 SCOVILLE AVE",
"city": "STICKNEY",
"state": "IL",
"postal_code": "604024428",
"telephone_number": "708-783-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALES",
"first_name": "ROBERTA",
"credential": "SLP/CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stickney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.