Children's Speech Services, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CHILDREN'S SPEECH SERVICES, PLLC

Practice address

812 Park Ave
Lake Villa, IL 60046-5024

Phone

(212) 401-4835

NPI assigned

Dec 26, 2020

Last updated

Dec 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelli Dry, OTDNPI 1235261538

Title

Managing Org

Phone

(212) 401-4835

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelli Dry, OTD, MED, OTR/L

  • Occupational Therapist
  • Simpsonville, KY
  • NPI 1235261538
  NPD Authorized official
• Stephanie J Coleman, LPC

  • Counselor
  • Astoria, NY
  • NPI 1730706086

  Single Specialty

  NPD

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608940800000",
    "number": "1780271601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 28TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063201",
            "telephone_number": "212-401-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PARK AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600465024",
            "telephone_number": "212-401-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SPEECH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A",
        "authorized_official_last_name": "DRY",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "MANAGING ORG",
        "authorized_official_telephone_number": "212-401-4835",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenandoah Cardwell, MA, NCC, LCPC
• Amanda Carlson, MS, LPC, NCC
• Izreal Cary, CCC-SLP
• Jacqueline Castillo, LPC
• Patricia Cerenil
• Citadel of Hope Home Health Care Inc.
• Holli Clauser, RBT-17-34670
• Mark J Clauser, RBT
• Sandra Ellen Johnson Clavelli, PSY.D.
• Ricky Joseph Colmer, PHD, LAC.

• Speech-Language Pathologist in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.