Summit Screening and Therapy Services, P.L.L.C

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100963 Issued in TX

Legal business name

SUMMIT SCREENING AND THERAPY SERVICES, P.L.L.C

Practice address

3315 McMahon Way
Missouri City, TX 77459-6692

Phone

(281) 685-2323

Fax

(281) 778-6308

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Jill Ruckman Mousa, M.S., CCC/SLP

Title

Speech-Language Path/Director

Phone

(281) 685-2323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1831328657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6",
            "address_2": "STE. 230 #230",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "281-685-2323",
            "fax_number": "281-778-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 MCMAHON WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596692",
            "telephone_number": "281-685-2323",
            "fax_number": "281-778-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SCREENING AND THERAPY SERVICES, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "MOUSA",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "RUCKMAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATH/DIRECTOR",
        "authorized_official_telephone_number": "281-685-2323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.