Organization Active NPI

November & Associates Speech-Language & Developmental Center, Inc.

  • Speech-Language Pathologist
  • Port St Lucie, FL
National Provider Identifier
1962518092
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA618 Issued in FL
Legal business name
NOVEMBER & ASSOCIATES SPEECH-LANGUAGE & DEVELOPMENTAL CENTER, INC.
Practice address
1948 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5510
Phone
(772) 342-1435
Fax
(855) 437-5783
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Rosemarie November, M.A., CCC-SLPNPI 1942316070
Title
President
Phone
(772) 342-1435

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: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA618 FL Primary

Addresses

Primary practice location

1948 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5510

Mailing address

441 SE Verada Ave
Port St Lucie, FL 34983-2242
Phone (772) 342-1435

Other identifiers 1

IdentifierTypeStateIssuer
890871100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160208001877 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1658673868 Practice locations: Port St Lucie, FL
O20180416002359 FL Part B Supplier - Clinic/Group Practice 1658673868 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory

Locations

1948 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 342-1435

Practitioners & affiliated clinicians

Practitioners 2

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1962518092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 SE VERADA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832242",
            "telephone_number": "772-342-1435",
            "fax_number": "855-437-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525510",
            "telephone_number": "772-342-1435",
            "fax_number": "855-437-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEMBER & ASSOCIATES SPEECH-LANGUAGE & DEVELOPMENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "NOVEMBER",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-342-1435",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890871100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.