NPIMap

Organization Active NPI

My Kid Speech and Occupational Corp

  • Speech-Language Pathologist
  • Homestead, FL
National Provider Identifier
1831654714
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MY KID SPEECH AND OCCUPATIONAL CORP
Practice address
1180 N Krome Ave
Homestead, FL 33030-4413
Phone
(786) 349-4700
Fax
(786) 601-2699
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Grettel Castillo
Title
President
Phone
(786) 349-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1180 N Krome Ave
Homestead, FL 33030-4413

Mailing address

1180 N Krome Ave
Homestead, FL 33030-4413
Phone (786) 349-4700

Other practice location 1

14425 Country Walk Dr
Miami, FL 33186-8103
Phone (786) 349-4700 ext. 2

Other practice location 2

49 NW 17th St
Homestead, FL 33030-3210
Phone (786) 349-4700 ext. 1

National Provider Directory

National Provider Directory

Locations

14425 Country Walk Dr
Miami, FL 33186
Phone (786) 349-4700

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1831654714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304413",
            "telephone_number": "786-349-4700",
            "fax_number": "786-601-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304413",
            "telephone_number": "786-349-4700",
            "fax_number": "786-601-2699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14425 Country Walk Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331868103",
            "country_code": "US",
            "telephone_number": "786-349-4700 x2",
            "fax_number": "786-701-2635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330303210",
            "country_code": "US",
            "telephone_number": "786-349-4700 x1",
            "fax_number": "786-349-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY KID SPEECH AND OCCUPATIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GRETTEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-349-4700"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.