NPIMap

Organization Active NPI

Mississippi State University

  • Speech-Language Pathologist
  • Mississippi State, MS
National Provider Identifier
1720581374
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S0482 Issued in MS
Legal business name
MISSISSIPPI STATE UNIVERSITY
Practice address
326 Hardy Road
Mississippi State, MS 39762
Phone
(662) 325-1028
Fax
(662) 325-0896
NPI assigned
Mar 9, 2018
Organization subpart
Yes
Parent organization
MISSISSIPPI STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Mrs. Janie Cirlot-New, M.S., CCC/SLPNPI 1013191022
Title
Director Speech Pathologist Aac Spe
Phone
(662) 325-1029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X TA2922 MS
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X S0482 MS Primary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X S0478 MS
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X S2375 MS

Addresses

Primary practice location

326 Hardy Road
Mississippi State, MS 39762

Mailing address

P.O. Box 9736
Mississippi State, MS 39762
Phone (662) 325-1028

Other names 1

  • T.K. Martin Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Mississippi State University10 organizations share this tax ID, including this one
Part of
Mississippi State University

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1720581374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9736",
            "city": "MISSISSIPPI STATE",
            "state": "MS",
            "postal_code": "39762",
            "telephone_number": "662-325-1028",
            "fax_number": "662-325-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 HARDY ROAD",
            "city": "MISSISSIPPI STATE",
            "state": "MS",
            "postal_code": "39762",
            "telephone_number": "662-325-1028",
            "fax_number": "662-325-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSISSIPPI STATE UNIVERSITY",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "CIRLOT-NEW",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "DIRECTOR SPEECH PATHOLOGIST AAC SPE",
        "authorized_official_telephone_number": "662-325-1029",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "TA2922",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0482",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0478",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.K. Martin Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mississippi State, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.