Active NPI
Ivy Speech and Language LLC
- Speech-Language Pathologist
- Mystic, CT
National Provider Identifier
1831832088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- IVY SPEECH AND LANGUAGE LLC
- Practice address
- 52 Williams Ave
Mystic, CT 06355-2914 - Phone
- (860) 775-7523
- Fax
- (860) 980-3815
- NPI assigned
- Apr 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elena E Smith
- Title
- Owner/SLP
- Phone
- (860) 775-7523
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
52 Williams Ave
Mystic, CT 06355-2914
Mailing address
33 Bel Aire Dr
Mystic, CT 06355-2001
Phone (860) 701-8924
Other names 1
- Ivy Speech and Language LLC
National Provider Directory
National Provider DirectoryLocations
52 Williams Ave
Mystic, CT 06355
Phone (860) 775-7523
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Mystic, CT
- NPI 1285300806
-
- Speech-Language Pathologist
- Mystic, CT
- NPI 1194640383
-
- Speech-Language Pathologist
- Mystic, CT
- NPI 1073234498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1831832088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BEL AIRE DR",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552001",
"telephone_number": "860-701-8924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 WILLIAMS AVE",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552914",
"telephone_number": "860-775-7523",
"fax_number": "860-980-3815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVY SPEECH AND LANGUAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-15",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ELENA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/SLP",
"authorized_official_telephone_number": "860-775-7523"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ivy Speech and Language LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.