Organization Active NPI

Speak Your Mind Speech and Language PLLC

  • Speech-Language Pathologist
  • Wheaton, IL
National Provider Identifier
1700417748
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEAK YOUR MIND SPEECH AND LANGUAGE PLLC
Practice address
402 E Roosevelt Rd Ste 104
Wheaton, IL 60187-5588
Phone
(630) 765-5890
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Lorissa Bertolini Grant, CCC-SLPNPI 1366807547
Title
Speech Language Pathologist
Phone
(201) 602-3374

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 1

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

Addresses

Primary practice location

402 E Roosevelt Rd Ste 104
Wheaton, IL 60187-5588

Mailing address

1326 Campbell Ave
Wheaton, IL 60189-6510
Phone (201) 602-3374

National Provider Directory

National Provider Directory

Locations

402 E Roosevelt Rd
Ste 104
Wheaton, IL 60187
Phone (630) 765-5890

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": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1700417748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CAMPBELL AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896510",
            "telephone_number": "201-602-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E ROOSEVELT RD STE 104",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875588",
            "telephone_number": "630-765-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK YOUR MIND SPEECH AND LANGUAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "LORISSA",
        "authorized_official_middle_name": "BERTOLINI",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "201-602-3374",
        "authorized_official_credential": "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 Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.