Organization Active NPI

Glosso Speech, Language and Educational Services, Inc.

  • Developmental Disabilities Clinic/Center
  • High Point, NC
National Provider Identifier
1760504500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
GLOSSO SPEECH, LANGUAGE AND EDUCATIONAL SERVICES, INC.
Practice address
1700 Deep River Rd
High Point, NC 27265-2568
Phone
(336) 889-0077
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Verlyn Moore Evans, ED.D.NPI 1417066036
Title
President
Phone
(336) 889-0077

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1700 Deep River Rd
High Point, NC 27265-2568

Mailing address

PO Box 31
Jamestown, NC 27282-0031
Phone (336) 889-0077

Other identifiers 1

IdentifierTypeStateIssuer
8300018MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Glosso Speech Language and Educational Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760504500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272820031",
            "telephone_number": "336-889-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 DEEP RIVER RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652568",
            "telephone_number": "336-889-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOSSO SPEECH, LANGUAGE AND EDUCATIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VERLYN",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-889-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300018",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.