Active NPI
Quilt Autism and Speech Center Corp
- Speech-Language Pathologist
- Canton, CT
National Provider Identifier
1992148316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004412
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Collinsville, CT
- NPI 1730464082
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.