Neighborhood Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

NEIGHBORHOOD THERAPY LLC

Practice address

1239 Belvedere Ave
Jacksonville, FL 32205-7940

Phone

(321) 795-7829

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carly Morgan TraversaNPI 1265035026

Title

Chief Executive Officer

Phone

(321) 795-7829

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carly Morgan Traversa

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1265035026
  Authorized official Same address or phone

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1881300077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 BELVEDERE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 BELVEDERE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057940",
            "telephone_number": "321-795-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "TRAVERSA",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "321-795-7829",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265035026",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Neidhart, ARNP, CNM
• Casey Neidig
• Ashley Anne Neidigh, LMHC
• Kirsten Neidler, LM, CPM
• Elizabeth Neifert
• Mary Neikirk
• Neil K Stevenson DMD, PLLC (Stevenson Family Dentistry)
• Jhame' Neil
• Zachery Dylan Neil, MD
• Tonia Neill, CRNA

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, 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 Jan 30, 2023; 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.