Active NPI
Street Simple Therapy Inc.
- Speech-Language Pathologist
- Beavercreek, OH
National Provider Identifier
1760156723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- STREET SIMPLE THERAPY INC.
- Practice address
- 1370 N Fairfield Rd Ste G
Beavercreek, OH 45432-2677 - Phone
- (937) 210-4565
- NPI assigned
- Aug 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debbie-Ann Cecile Brooks, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (801) 867-3894
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1370 N Fairfield Rd Ste G
Beavercreek, OH 45432-2677
Mailing address
1370 N Fairfield Rd Ste G
Beavercreek, OH 45432-2677
Phone (937) 210-4565
National Provider Directory
National Provider DirectoryLocations
1370 N Fairfield Rd
Ste G
Beavercreek, OH 45432
Phone (937) 210-4565
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Beavercreek, OH
- NPI 1669089678
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1952727083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1760156723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 N FAIRFIELD RD STE G",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454322677",
"telephone_number": "937-210-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 N FAIRFIELD RD STE G",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454322677",
"telephone_number": "937-210-4565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STREET SIMPLE THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-03",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "DEBBIE-ANN",
"authorized_official_middle_name": "CECILE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "801-867-3894",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"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 Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.