GRASSYLANE THERAPIES, LLC (NPI# 1235654179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235654179 |
| Entity Type | Organization |
| Organization Name | GRASSYLANE THERAPIES, LLC |
| Practice Address |
14 Glenwood Ct Bethany CT 06524-3319 |
| Practice Telephone | (203) 314-1991 |
| Mailing Telephone | 2033141991 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |
| Authorized Official Name | MRS. JOAN L BLACK (MEMBER) |
| Authorized Official Telephone | 2033141991 |
| Authorized Official Credential | MS, CCC/SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| Street Address |
14 GLENWOOD CT |
| City | BETHANY |
| State | CT |
| Zip Code | 06524-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639404916 | Joan L. Black | Speech-Language Pathologist | 14 Glenwood Ct, Bethany, CT 06524-3319 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194378323 | Brittany Varano | Dental Hygienist | 55 Sargent Dr., Bethany, CT 06524 | 2019-07-17 |
| 1366952384 | Cybil Kathleen Ryan | Social Worker | 649 Amity Rd # Uni103, Bethany, CT 06524 | 2017-10-04 |
| 1952542409 | Deborah Lynn Ellsworth | Social Worker | 649 Amity Road, Bethany, CT 06524 | 2009-03-12 |
| 1730218181 | Boaz Itshaky | Acupuncturist | 286 Beacon Rd, Bethany, CT 06524 | 2007-03-03 |
| 1881750131 | Michael Bruce Enson | Social Worker | 9 Munson Road, 2nd Floor, Bethany, CT 06524 | 2006-12-29 |
| 1043327232 | Amity Dental Care Inc | Dentist | 696 Amity Rd Ste A3, Bethany, CT 06524-3006 | 2006-08-24 |
| 1770805301 | Annette Maria Snow | Dietitian, Registered | 54 Lacey Rd, Bethany, CT 06524-3021 | 2010-02-24 |
| 1679561120 | The Bethany Volunteer Firemens Association Incorporated | Ambulance | 765 Amity Rd, Bethany, CT 06524-3028 | 2005-10-10 |
| 1538458310 | Pediatric Parenting, LLC | Nurse Practitioner | 435 Amity Rd, Bethany, CT 06524-3038 | 2011-04-01 |
| 1831639392 | Tatiana A. Goclowski | Nurse Practitioner | 187 Beacon Rd, Bethany, CT 06524-3054 | 2017-03-03 |
| Find all providers in zip 06524 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269288 | Speak Your Mind Speech Therapy LLC | Clinic/Center | 345 Buckland Hills Dr Apt 14222, Manchester, CT 06042-8742 | 2020-09-09 |
| 1750851986 | Speech of Madison, LLC | Clinic/Center | 21 Boston Post Rd, Madison, CT 06443-2131 | 2018-11-30 |
| 1811354392 | Rsb Associates D.b.a. Arlyne E Russo | Clinic/Center | 1481 Fairfield Beach Rd, Fairfield, CT 06824-6520 | 2016-01-28 |
| 1679042113 | New Life Hearing Solutions | Clinic/Center | 88 Ryders Lane, Stratford, CT 06614 | 2018-11-14 |
| 1548751449 | David Joseph Defilippo | Clinic/Center | 88 Ryders Ln, Stratford, CT 06614-1666 | 2018-05-25 |
| 1376903864 | All About Ears LLC | Clinic/Center | 41b New London Tpke, Glastonbury, CT 06033-4240 | 2016-02-26 |
| 1184042756 | Pediatric Speech Language and Literacy Services, LLC | Clinic/Center | 9 Lake Pl N, Danbury, CT 06810-7203 | 2014-04-01 |
| 1932538733 | Play With Speech LLC | Clinic/Center | 40 Rugby Rd, Fairfield, CT 06824-5624 | 2013-11-02 |
| 1780977603 | Sound Audiology and Hearing Aid Center LLC | Clinic/Center | 82 Norwich Westerly Rd, Box #6, North Stonington, CT 06359-1744 | 2011-05-25 |
| 1497054316 | Easter Seal Rehabilitation Center | Clinic/Center | 22 Tompkins St, Waterbury, CT 06708-1496 | 2011-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.