Organization Active NPI

Speak-Eat-Smile Therapy

  • Speech-Language Pathologist
  • Jersey City, NJ
National Provider Identifier
1952069353
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEAK-EAT-SMILE THERAPY
Practice address
444 Washington Blvd Apt 5328
Jersey City, NJ 07310-1905
Phone
(917) 601-6488
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Shavanne Robinson, SLP
Title
Practice Owner
Phone
(917) 601-6488

Specialties & licenses 1

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

Addresses

Primary practice location

444 Washington Blvd Apt 5328
Jersey City, NJ 07310-1905

Mailing address

444 Washington Blvd Apt 5328
Jersey City, NJ 07310-1905
Phone (917) 601-6488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1952069353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WASHINGTON BLVD APT 5328",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101905",
            "telephone_number": "917-601-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WASHINGTON BLVD APT 5328",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101905",
            "telephone_number": "917-601-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK-EAT-SMILE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHAVANNE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "917-601-6488",
        "authorized_official_credential": "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 Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.