Organization Active NPI

Mindy Teiken, Ma CCC-SLP, LLC

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1790155703
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0001147 Issued in CO
Legal business name
MINDY TEIKEN, MA CCC-SLP, LLC
Practice address
2432 S Downing St
Denver, CO 80210-5812
Phone
(303) 916-1033
NPI assigned
Oct 2, 2015
Last updated
Oct 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Melinda Teiken, MA CCC-SLPNPI 1639585896
Title
Speech Pathologist
Phone
(303) 916-1033

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 Pathologist 235Z00000X SLP.0001147 CO Primary

Addresses

Primary practice location

2432 S Downing St
Denver, CO 80210-5812

Mailing address

1390 S Washington St
Denver, CO 80210-2241
Phone (303) 916-1033

Other identifiers 1

IdentifierTypeStateIssuer
75021331MedicaidCO

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1790155703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S WASHINGTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102241",
            "telephone_number": "303-916-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105812",
            "telephone_number": "303-916-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY TEIKEN, MA CCC-SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "TEIKEN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "303-916-1033",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75021331",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.