Organization Active NPI

Speech Pathology Services, Inc,

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1861632879
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
SLP000637 Issued in GA
Legal business name
SPEECH PATHOLOGY SERVICES, INC,
Practice address
750 Hammond Dr NE
Building 4, Suite 100
Atlanta, GA 30328-5532
Phone
(404) 459-9192
Fax
(678) 904-6347
NPI assigned
Mar 3, 2009
Last updated
Mar 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Minda Cohen, M.ED., CCC-SLP
Title
President/Speech-Language Pathologi
Phone
(404) 459-9192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X SLP000637 GA Primary

Addresses

Primary practice location

750 Hammond Dr NE
Building 4, Suite 100
Atlanta, GA 30328-5532

Mailing address

750 Hammond Dr NE
Building 4, Suite 100
Atlanta, GA 30328-5532
Phone (404) 459-9192

National Provider Directory

National Provider Directory

Locations

750 Hammond Dr
Bldg 4
Sandy Springs, GA 30328
Phone (404) 459-9192

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1861632879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR NE",
            "address_2": "BUILDING 4, SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285532",
            "telephone_number": "404-459-9192",
            "fax_number": "678-904-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR NE",
            "address_2": "BUILDING 4, SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285532",
            "telephone_number": "404-459-9192",
            "fax_number": "678-904-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY SERVICES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MINDA",
        "authorized_official_title_or_position": "PRESIDENT/SPEECH-LANGUAGE PATHOLOGI",
        "authorized_official_telephone_number": "404-459-9192",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "SLP000637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.