Sullivan Speech-Language Pathology Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SULLIVAN SPEECH-LANGUAGE PATHOLOGY SERVICES, LLC

Practice address

6300 N Wickham Rd
# 130 - 478
Melbourne, FL 32940

Phone

(757) 289-7670

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Natalie Jean Sullivan, PHD, CCC-SLPNPI 1407311640

Title

Director

Phone

(757) 289-7670

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Natalie Jean Sullivan, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Palm Bay, FL
  • NPI 1407311640
  NPD Authorized official

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1851970883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD",
            "address_2": "# 130 - 478",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD",
            "address_2": "# 130 - 478",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "757-289-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN SPEECH-LANGUAGE PATHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-289-7670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sud Facility Optimization, LLC
• Fernando Suico, PT
• Rebecca Suiters, PA-C
• Leonard Sukienik, D.O.
• Sullivan Sinus and Allergy, LLC
• Patricia Ann Sullivan-Liebig, CRNA
• Daniel P Sullivan, MD
• Mark Ashley Sullivan, RN
• Andrew Sulser
• Suncoast Pathology Associates Inc

• Speech-Language Pathologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.