Organization Active NPI

True Self Speech Therapy LLC

  • Speech-Language Pathologist
  • Providence, RI
National Provider Identifier
1760160972
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TRUE SELF SPEECH THERAPY LLC
Practice address
777 N Main St
Providence, RI 02904-5703
Phone
(401) 415-7525
NPI assigned
Jul 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Anne Quirk, MS-CCC SLPNPI 1356768998
Title
Owner
Phone
(401) 415-7525

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

777 N Main St
Providence, RI 02904-5703

Mailing address

52 Mount Hope Ave
Providence, RI 02906-1648
Phone (401) 415-7525

Other names 1

  • True Self Speech Therapy Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230929000549 RI Part B Supplier - Clinic/Group Practice 0547614257 Receives reassigned benefits from 3 practitioners
Practice locations: Providence, RI

National Provider Directory

National Provider Directory

Locations

777 N Main St
Providence, RI 02904
Phone (401) 415-7525

Practitioners & affiliated clinicians

Practitioners 3

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": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1760160972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MOUNT HOPE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061648",
            "telephone_number": "401-415-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045703",
            "telephone_number": "401-415-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE SELF SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "QUIRK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-415-7525",
        "authorized_official_credential": "MS-CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Self Speech Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.