Spectrum Therapy Assessment and Rehabilitation, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SPECTRUM THERAPY ASSESSMENT AND REHABILITATION, LLC

Practice address

246 Carolinian Dr
Summerville, SC 29485-7854

Phone

(949) 322-6316

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Shiloh-Bergman, M.A.

Title

Owner/Behavior Analyst

Phone

(949) 322-6316

Specialties & licenses 1

Addresses

Other names 1

• STAR, LLC Other name

Tax ID family

Spectrum Therapy Assessment and Rehabilitation LLC2 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.

• Spectrum, Therapy, Assessment, Rehabilitation

  • Intellectual & Developmental Disabilities Psychologist
  • Summerville, SC
  • NPI 1508031006
  NPD tax ID

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1699949362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CAROLINIAN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 CAROLINIAN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857854",
            "telephone_number": "949-322-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPY ASSESSMENT AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "SHILOH-BERGMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "949-322-6316",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Spear Educational Services
• Jessica Spearing
• Sarah Jane Tyler Spearman, PHARMD
• Special Care Vision of SC, LLC
• Vito Speciale, DPM
• Spectrum, Therapy, Assessment, Rehabilitation
• Marika Charlene Spell
• Hailey Spencer, LDO
• Rachel Klara Mink Spencer, OTR/L
• Tanya Spencer, RN

• Early Intervention Provider Agency in Summerville, SC
• Providers in Summerville, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.