Organization Active NPI

Chrystal Clear Communication, Inc

  • Speech-Language Pathologist
  • Pembroke Pines, FL
National Provider Identifier
1942780333
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHRYSTAL CLEAR COMMUNICATION, INC
Practice address
100 NW 108TH Ter Apt 208
Pembroke Pines, FL 33026-4088
Phone
(305) 527-9532
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Chrystal K Bhola, MS, CCC-SLPNPI 1184923039
Title
Speech-Language Pathologist/Owner
Phone
(305) 527-9532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

100 NW 108TH Ter Apt 208
Pembroke Pines, FL 33026-4088

Mailing address

100 NW 108TH Ter Apt 208
Pembroke Pines, FL 33026-4088
Phone (305) 527-9532

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1942780333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 108TH TER APT 208",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264088",
            "telephone_number": "305-527-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 108TH TER APT 208",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264088",
            "telephone_number": "305-527-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSTAL CLEAR COMMUNICATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "BHOLA",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "305-527-9532",
        "authorized_official_credential": "MS, 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": []
}

Other providers in Pembroke Pines, FL

Sources for this page

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