NPIMap

Organization Active NPI

Communication & Learning Clinic, LLC

  • Speech-Language Pathologist
  • Fort Wayne, IN
National Provider Identifier
1841407384
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COMMUNICATION & LEARNING CLINIC, LLC
Practice address
6039 Stoney Creek Dr
Fort Wayne, IN 46825-4410
Phone
(260) 482-2239
Fax
(877) 459-3403
NPI assigned
May 16, 2007
Last updated
Jul 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Cynthia J Gerard
Title
Owner
Phone
(260) 482-2239

Specialties & licenses 1

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

Addresses

Primary practice location

6039 Stoney Creek Dr
Fort Wayne, IN 46825-4410

Mailing address

6039 Stoney Creek Dr
Fort Wayne, IN 46825-4410
Phone (260) 482-2239

Other identifiers 1

IdentifierTypeStateIssuer
200725260OtherINFIRST STEPS PROVIDER

National Provider Directory

National Provider Directory

Locations

6039 Stoney Creek Dr
Fort Wayne, IN 46825
Phone (260) 482-2239

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1841407384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 STONEY CREEK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254410",
            "telephone_number": "260-482-2239",
            "fax_number": "877-459-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 STONEY CREEK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254410",
            "telephone_number": "260-482-2239",
            "fax_number": "877-459-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICATION & LEARNING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-482-2239"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS PROVIDER",
            "identifier": "200725260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

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