Mi Casa Speech and Language Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10310 Issued in TX

Legal business name

MI CASA SPEECH AND LANGUAGE THERAPY

Practice address

2509 Toulouse Dr
Austin, TX 78748-6049

Phone

(512) 909-1684

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mary Anne Nericcio, PHD

Title

Owner

Phone

(512) 909-1684

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1962715706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 TOULOUSE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486049",
            "telephone_number": "512-909-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 TOULOUSE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486049",
            "telephone_number": "512-909-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA SPEECH AND LANGUAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "NERICCIO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-909-1684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "10310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1376668863",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MG Family Medicine, PLLC
• Mga Healthcare Austin, Inc.
• Mga Healthcare Texas, LLC
• Paulette Y Mhawech Fauceglia, MD
• Mi Casa FD GNR PLLC
• Mi Familia Medical PLLC
• Mi2 Ventures, LLC
• Mia Roldan Austin Therapy PLLC
• Nosheen Amir Mian, M.D.
• Tahir Shabbir Mian, M.D.

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.