Organization Active NPI

Speech Therapy Center of Richmond, LLC

  • Speech-Language Pathologist
  • Richmond, IN
National Provider Identifier
1811261381
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22003806A Issued in IN
Legal business name
SPEECH THERAPY CENTER OF RICHMOND, LLC
Practice address
103 N 15TH St
Richmond, IN 47374-3303
Phone
(765) 977-6466
Fax
(765) 997-7422
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Susan J Sagna, M.A.,CCC-SLP
Title
Speech-Language Pathologist/ Owner
Phone
(765) 277-6466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 22003806A IN Primary

Addresses

Primary practice location

103 N 15TH St
Richmond, IN 47374-3303

Mailing address

801 Hidden Valley Drive
Richmond, IN 47374-5155
Phone (765) 277-6466

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.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1811261381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HIDDEN VALLEY DRIVE",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745155",
            "telephone_number": "765-277-6466",
            "fax_number": "765-997-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 15TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743303",
            "telephone_number": "765-977-6466",
            "fax_number": "765-997-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY CENTER OF RICHMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "SAGNA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "765-277-6466",
        "authorized_official_credential": "M.A.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003806A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.