Chasity Timeka Bogay, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.008402 Issued in IL

Practice address

2412 E Washington St
Suite 8B
Bloomington, IL 61704-4497

Phone

(309) 663-4172

NPI assigned

Apr 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Speech & Learning Connections

  • Speech-Language Pathologist
  • Bloomington, IL
  • NPI 1255511283
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1730323700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HAWTHORNE LAKE DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048530",
            "telephone_number": "309-706-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 E WASHINGTON ST",
            "address_2": "SUITE 8B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044497",
            "telephone_number": "309-663-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAY",
        "first_name": "CHASITY",
        "middle_name": "TIMEKA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Blythe-Teats
• BNL Eyecare Inc.
• Erik Paul Boe, M.D.
• Tayaunna Boehm-Binion
• Louis Boelen, M.D.
• Michelle Lynn Bognanno, M.A., CCC-SLP/L
• Kathryn Sue Bohn, M.D.
• Abby Lynn Bokus, LCSW
• Philip L. Bolton, D.C.
• Clinton Boone

• Speech-Language Pathologist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.