Organization Active NPI

Small Talk Speech and Language Therapy, Inc.

  • Speech-Language Pathologist
  • McComb, MS
National Provider Identifier
1992170781
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3363 Issued in MS
Legal business name
SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.
Practice address
103 N Broadway St
McComb, MS 39648-3901
Phone
(601) 754-4524
Fax
(601) 385-3040
NPI assigned
Dec 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Authorized official

Name
Shamona Miller, M.S., CCC-SLPNPI 1952635120
Title
Speech Language Patbologist/Owner
Phone
(601) 754-4524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X S3363 MS Primary

Addresses

Primary practice location

103 N Broadway St
McComb, MS 39648-3901

Mailing address

2085 Robb Street Ext W
Summit, MS 39666-7048
Phone (601) 754-4524

Other identifiers 1

IdentifierTypeStateIssuer
07201256MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Small Talk Speech and Language Therapy2 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

103 N Broadway St
McComb, MS 39648
Phone (601) 754-4524

125 N 6th St
Ste B
McComb, MS 39648
Phone (601) 324-3324

Practitioners & affiliated clinicians

Practitioners 2

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": "1449360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1992170781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 ROBB STREET EXT W",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396667048",
            "telephone_number": "601-754-4524",
            "fax_number": "601-385-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N BROADWAY ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483901",
            "telephone_number": "601-754-4524",
            "fax_number": "601-385-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAMONA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATBOLOGIST/OWNER",
        "authorized_official_telephone_number": "601-754-4524",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07201256",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; 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.