Organization Active NPI

Quilt Autism and Speech Center Corp

  • Speech-Language Pathologist
  • Canton, CT
National Provider Identifier
1992148316
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004412 Issued in CT
Legal business name
QUILT AUTISM AND SPEECH CENTER CORP
Practice address
64 Maple Ave
Canton, CT 06019
Phone
(860) 217-1434
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Mrs. Barbara Ruth Zachs, SLP
Title
Speech and Language Pathologist and
Phone
(860) 380-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 004412 CT Primary

Addresses

Primary practice location

64 Maple Ave
Canton, CT 06019

Mailing address

27 Canton Rd
West Simsbury, CT 06092
Phone (860) 217-1434

National Provider Directory

National Provider Directory

Locations

64 Maple Ave
Collinsville, CT 06019
Phone (860) 217-1434

Practitioners & affiliated clinicians

Practitioners 1

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": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1992148316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CANTON RD",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "06092",
            "telephone_number": "860-217-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MAPLE AVE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "06019",
            "telephone_number": "860-217-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUILT AUTISM AND SPEECH CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "ZACHS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST AND",
        "authorized_official_telephone_number": "860-380-0774",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.