NPIMap

Organization Active NPI

Wonder Wild Speech and Language Therapy Services LLC

  • Hearing and Speech Clinic/Center
  • Elkhorn, WI
National Provider Identifier
1790494664
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
WONDER WILD SPEECH AND LANGUAGE THERAPY SERVICES LLC
Practice address
913 N Church St Apt 208
Elkhorn, WI 53121-4521
Phone
(715) 704-9492
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Cailyn EblerNPI 1316673957
Title
Owner; Speech Language Pathologist
Phone
(715) 704-9492

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
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

913 N Church St Apt 208
Elkhorn, WI 53121-4521

Mailing address

913 N Church St Apt 208
Elkhorn, WI 53121-4521

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1790494664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N CHURCH ST APT 208",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N CHURCH ST APT 208",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214521",
            "telephone_number": "715-704-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER WILD SPEECH AND LANGUAGE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "EBLER",
        "authorized_official_first_name": "CAILYN",
        "authorized_official_title_or_position": "OWNER; SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "715-704-9492"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.