NPIMap

Organization Active NPI

Express Yourself Therapy

  • Speech-Language Pathologist
  • Kensington, MD
National Provider Identifier
1760015457
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EXPRESS YOURSELF THERAPY
Practice address
3930 Kowles Ave Suite 306
Kensington, MD 20895
Phone
(847) 345-3384
NPI assigned
Feb 20, 2020
Organization subpart
Yes
Parent organization
EXPRESS YOURSELF THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Melissa Grosvenor
Title
Owner
Phone
(847) 345-3384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3930 Kowles Ave Suite 306
Kensington, MD 20895

Mailing address

887 E Wilmette Road Suite J
Palatine, IL 60074

National Provider Directory

National Provider Directory
Tax ID family
Express Yourself Therapy2 organizations share this tax ID, including this one
Part of
Express Yourself Therapy

Other organizations with this tax ID 1

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

Locations

3930 Knowles Ave
Ste 306
Kensington, MD 20895
Phone (847) 345-3384

Practitioners & affiliated clinicians

Practitioners 4

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": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1760015457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 E WILMETTE ROAD SUITE J",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 KOWLES AVE SUITE 306",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "847-345-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS YOURSELF THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXPRESS YOURSELF THERAPY",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "GROSVENOR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-345-3384",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "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": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.