Springboard Therapy Services, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3895 Issued in MS

Legal business name

SPRINGBOARD THERAPY SERVICES, INC

Practice address

306 Winding Hills Dr
Clinton, MS 39056-4166

Phone

(202) 725-1196

Fax

(601) 385-3550

NPI assigned

Oct 2, 2015

Last updated

Oct 2, 2015By 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

Mrs. Vonnetta J.L Gidley, SPEECH- LANGUAGE PATNPI 1447674718

Title

Chief Executive Officer

Phone

(202) 725-1196

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vonnetta Gidley, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Ridgeland, MS
  • NPI 1447674718
  NPD (past) Authorized official

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1710357793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WINDING HILLS DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564166",
            "telephone_number": "202-725-1196",
            "fax_number": "601-385-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WINDING HILLS DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564166",
            "telephone_number": "202-725-1196",
            "fax_number": "601-385-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBOARD THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "GIDLEY",
        "authorized_official_first_name": "VONNETTA",
        "authorized_official_middle_name": "J.L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-725-1196",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SPEECH- LANGUAGE PAT"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Mae Spann, APRN PMHNP
• Tiffany Danielle Spears
• Spectrum Eye Care Solutions,LLC
• Speech Care Associates
• Delisha Diane Speech, M.S., CCC-SLP
• Springridge Medical Clinic
• St Dominic Medical Associates (Retail Clinic - Clinton)
• St Dominic Medical Associates, LLC (Family Practice Associates Clinton)
• St. Dominic Medical Associates Inc (Family Practice Associates Clinton)
• Sta-Home Health Agency of Jackson, Inc. (AccentCare Home Health of Jackson)

• Speech-Language Pathologist in Clinton, MS
• Providers in Clinton, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.