Tara Marie Gregori, MSP, CCC-SLP, BCBA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2212 Issued in SC

Practice address

966 Governors CT
Mount Pleasant, SC 29464-9257

Phone

(843) 813-1538

Fax

(843) 884-6190

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crescent Child Development Services

  • Behavior Analyst
  • Mount Pleasant, SC
  • NPI 1356621817
  NPD (past) Authorized official
• Crescent Child Development Services, LLC

  • Behavior Analyst
  • North Charleston, SC
  • NPI 1720514938
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1780809335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 GOVERNORS CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649257",
            "telephone_number": "843-813-1538",
            "fax_number": "843-888-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 GOVERNORS CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649257",
            "telephone_number": "843-813-1538",
            "fax_number": "843-884-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORI",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "MSP, CCC-SLP, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2212",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0412",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXG324",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Leif Greenslit, M.D
• Sarah Greenwood, L.P.C.
• Margaret Greer-Simmons, PH.D.
• Pamela Greer
• Jessica C Gregg, MA
• Natalie Gregory, MD
• Virginia L Gregory, DMD
• Kaitlyn Greiner, OD
• Charlene M Grice, MD
• Sara Mackenzie Grieco

• Speech-Language Pathologist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.