NPIMap

Organization Active NPI

Penfield Play Lab, LLC

  • Speech-Language Pathologist
  • Temple Hills, MD
National Provider Identifier
1740061423
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PENFIELD PLAY LAB, LLC
Practice address
7308 Wessex Dr
Temple Hills, MD 20748-4148
Phone
(301) 343-3219
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Kacey HollandNPI 1033543640
Title
Owner
Phone
(301) 343-3219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

7308 Wessex Dr
Temple Hills, MD 20748-4148

Mailing address

7308 Wessex Dr
Temple Hills, MD 20748-4148
Phone (301) 343-3219

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1740061423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 WESSEX DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484148",
            "telephone_number": "301-343-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7308 WESSEX DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484148",
            "telephone_number": "301-343-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENFIELD PLAY LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-343-3219"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.