Organization Active NPI

Keystone Speech Therapy, LLC

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1811695653
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KEYSTONE SPEECH THERAPY, LLC
Practice address
1529 Green St Apt B
Philadelphia, PA 19130-4046
Phone
(267) 301-3789
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Meng Brooks-McLendon, MS, CCC-SLPNPI 1104411420
Title
Founder/Clinical Director
Phone
(267) 301-3789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1529 Green St Apt B
Philadelphia, PA 19130-4046

Mailing address

1735 Market St Ste a
Philadelphia, PA 19103-7502
Phone (267) 301-3789

National Provider Directory

National Provider Directory

Locations

1735 Market St
Ste A
Philadelphia, PA 19103
Phone (215) 995-4138

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": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1811695653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 MARKET ST STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037502",
            "telephone_number": "267-301-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 GREEN ST APT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304046",
            "telephone_number": "267-301-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "BROOKS-MCLENDON",
        "authorized_official_first_name": "MENG",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "267-301-3789",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.