The Cognitive Coach LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00194500 Issued in NJ

Legal business name

THE COGNITIVE COACH LLC

Practice address

2362 Apple Ridge Cir
Manasquan, NJ 08736-1124

Phone

(732) 977-7381

Fax

(732) 292-2789

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By 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

Doreen Bridgman, MS,CCC,SLPNPI 1841685245

Title

Owner-SLP

Phone

(732) 977-7381

Specialties & licenses 1

Addresses

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.

• Doreen Bridgman

  • Speech-Language Pathologist
  • Manasquan, NJ
  • NPI 1841685245
  NPD (past) Authorized official

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1902263114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 APPLE RIDGE CIR",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361124",
            "telephone_number": "732-977-7381",
            "fax_number": "732-292-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 APPLE RIDGE CIR",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361124",
            "telephone_number": "732-977-7381",
            "fax_number": "732-292-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COGNITIVE COACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "BRIDGMAN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "OWNER-SLP",
        "authorized_official_telephone_number": "732-977-7381",
        "authorized_official_credential": "MS,CCC,SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00194500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.