Organization Active NPI

Seaglass Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Palm Beach Gardens, FL
National Provider Identifier
1801213673
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11342 Issued in FL
Legal business name
SEAGLASS SPEECH THERAPY, PLLC
Practice address
120 Hidden Hollow Dr
Palm Beach Gardens, FL 33418-6000
Phone
(561) 758-5859
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Cara Louise McAllister, M.A. CCC-SLP
Title
Speech-Language Pathologist/Owner
Phone
(561) 758-5859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA11342 FL Primary

Addresses

Primary practice location

120 Hidden Hollow Dr
Palm Beach Gardens, FL 33418-6000

Mailing address

120 Hidden Hollow Dr
Palm Beach Gardens, FL 33418-6000
Phone (561) 758-5859

Other identifiers 1

IdentifierTypeStateIssuer
002907100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1801213673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HIDDEN HOLLOW DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186000",
            "telephone_number": "561-758-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HIDDEN HOLLOW DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186000",
            "telephone_number": "561-758-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGLASS SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "561-758-5859",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002907100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.