Clinical Speech Therapy PLLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

CLINICAL SPEECH THERAPY PLLC

Practice address

511 S 5TH St
Sanford, NC 27330-4910

Phone

(919) 353-1212

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Inmaculada Simancas Martin, MS, CCC-SLP

Title

Member and Organizer

Phone

(919) 353-1212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Inmaculada Concepcion Simancas Martin

  • Speech-Language Pathologist
  • Sanford, NC
  • NPI 1073178836
  Medicare reassignment NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1972233484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S 5TH ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304910",
            "telephone_number": "919-353-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S 5TH ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304910",
            "telephone_number": "919-353-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "INMACULADA",
        "authorized_official_middle_name": "SIMANCAS",
        "authorized_official_title_or_position": "MEMBER AND ORGANIZER",
        "authorized_official_telephone_number": "919-353-1212",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Clark, CNM
• Kristian Willow Clark
• Sandra Clark, MSW, LCSWA
• Shanna S Claxton, MSW, LCSWA
• Charles Keith Clifford, RPH
• Justin P Cobb, MS, LAT, ATC
• Chad Cobus, PHARM. D
• Suzanne Michele Colandro
• Glenda Watson Colebrook, RN
• Vanessa Coley

• Hearing and Speech Clinic/Center in Sanford, NC
• Providers in Sanford, NC by specialty
• Hearing and Speech Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.