Active NPI
Seaglass Speech Therapy, PLLC
- Speech-Language Pathologist
- Palm Beach Gardens, FL
National Provider Identifier
1801213673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11342
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002907100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.