Individual provider Active NPI

Haley Olivia Chonin

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1720718604
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20522 Issued in FL
Practice address
12966 SW 89TH Ave
Miami, FL 33176-5850
Phone
(786) 554-8920
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA20522 FL Primary

Addresses

Primary practice location

12966 SW 89TH Ave
Miami, FL 33176-5850

Mailing address

3170 Coral Way Apt 801
Miami, FL 33145-3351
Phone (786) 390-8847

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

State licenses

LicenseStateTypeSpecialty
SA20522FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Therapy Team LLC Speech-Language Pathologist CurrentSince Jun 21, 2022 Accepting new patients
Beyond Therapy Behavioral CurrentSince Jun 21, 2022 Accepting new patients

Locations

12966 SW 89th Ave
Miami, FL 33176
Phone (786) 554-8920

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1720718604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 CORAL WAY APT 801",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453351",
            "telephone_number": "786-390-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 SW 89TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765850",
            "telephone_number": "786-554-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONIN",
        "first_name": "HALEY",
        "middle_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.