Organization Active NPI

Children's Learning Center of Camden County, Inc.

  • Speech-Language Pathologist
  • Camdenton, MO
National Provider Identifier
1801016118
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101665 Issued in MO
Legal business name
CHILDREN'S LEARNING CENTER OF CAMDEN COUNTY, INC.
Practice address
88 Third Street
Camdenton, MO 65020
Phone
(573) 346-0660
Fax
(573) 346-0688
NPI assigned
Apr 27, 2007
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Mrs. Susan Daniels
Title
Executive Director
Phone
(573) 346-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 101665 MO Primary

Addresses

Primary practice location

88 Third Street
Camdenton, MO 65020

Mailing address

88 Third Street
Camdenton, MO 65020-1646
Phone (573) 346-0660

National Provider Directory

National Provider Directory

Locations

88 3rd St
Camdenton, MO 65020
Phone (573) 346-0660

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1801016118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 THIRD STREET",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650201646",
            "telephone_number": "573-346-0660",
            "fax_number": "573-346-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 THIRD STREET",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "65020",
            "telephone_number": "573-346-0660",
            "fax_number": "573-346-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S LEARNING CENTER OF CAMDEN COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-346-0660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "101665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camdenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.