NPIMap

Organization Active NPI

Children'S Speech and Reading Center

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1972733202
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILDREN'S SPEECH AND READING CENTER
Practice address
1330 Oakridge Dr.
Suite 10
Fort Collins, CO 80525
Phone
(970) 419-0486
Fax
(970) 221-5751
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Mr. David Y. Boon
Title
Executive Director
Phone
(970) 419-0486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1330 Oakridge Dr.
Suite 10
Fort Collins, CO 80525

Mailing address

1330 Oakridge Dr.
Suite 10
Fort Collins, CO 80525
Phone (970) 419-0486

Other identifiers 1

IdentifierTypeStateIssuer
1972733202MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Children'S Speech and Reading Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1330 Oakridge Dr
Unit 10
Fort Collins, CO 80525
Phone (970) 419-0486

1247 Riverside Ave
Ste 4
Fort Collins, CO 80524
Phone (303) 482-4373

Practitioners & affiliated clinicians

Practitioners 8

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": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1972733202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR.",
            "address_2": "SUITE 10",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-419-0486",
            "fax_number": "970-221-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR.",
            "address_2": "SUITE 10",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-419-0486",
            "fax_number": "970-221-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SPEECH AND READING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-419-0486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972733202",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.