Active NPI
Cailen Danielle Bosch
- Speech-Language Pathologist
- Missoula, MT
National Provider Identifier
1801553672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-SP-LIC-8818
- Practice address
- 2321 S 3Rd St W
Missoula, MT 59801-1332 - Phone
- (406) 214-3131
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-SP-LIC-8818 | MT | Primary |
Addresses
Primary practice location
2321 S 3Rd St W
Missoula, MT 59801-1332
Mailing address
401 Hiberta St
Missoula, MT 59804-1147
Phone (406) 794-1832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-SP-LIC-8818 | MT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missoula Pediatric Therapy Center Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2683 Palmer St
Ste B
Missoula, MT 59808
Phone (406) 214-3131
2321 S 3rd St W
Missoula, MT 59801
Phone (406) 214-3131
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Missoula, MT
- NPI 1891263034
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1801553672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HIBERTA ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598041147",
"telephone_number": "406-794-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 S 3RD ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011332",
"telephone_number": "406-214-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSCH",
"first_name": "CAILEN",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-SP-LIC-8818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.