Organization Active NPI

Mandarin Reading Clinic

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1730737834
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MANDARIN READING CLINIC
Practice address
13241 Bartram Park Blvd Unit 913
Jacksonville, FL 32258-5217
Phone
(904) 485-0590
NPI assigned
Sep 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Authorized official

Name
Marcy Rudowitz
Title
Office Administrator
Phone
(904) 485-0590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

13241 Bartram Park Blvd Unit 913
Jacksonville, FL 32258-5217

Mailing address

13241 Bartram Park Blvd Unit 913
Jacksonville, FL 32258-5217
Phone (904) 485-0590

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL admin@mandarinreadingclinic.hdirect.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

13241 Bartram Park Blvd
Unit 913
Jacksonville, FL 32258
Phone (904) 485-0590

NPI Registry JSON

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567296000000",
    "number": "1730737834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 913",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585217",
            "telephone_number": "904-485-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 913",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585217",
            "telephone_number": "904-485-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDARIN READING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A",
        "authorized_official_last_name": "RUDOWITZ",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-485-0590"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@mandarinreadingclinic.hdirect.net",
            "affiliation": "N",
            "endpointDescription": "Florida HIE Service - Direct Message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13241 Bartram Park Blvd Unit 913",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322585217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.