STACEY CHILDERS (NPI# 1639684087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639684087 |
| Entity Type | Individual |
| Full Name | STACEY CHILDERS |
| Credential | M.S. CCC-SLP |
| Practice Address |
4200 Purdy Ln Palm Springs FL 33461-1469 |
| Mailing Address |
11606 Ficus St Palm Beach Gardens FL 33410-2618 |
| Practice Telephone | 5618043500 |
| Mailing Telephone | 9136343221 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA15876 | FL | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12785 Forest Hill Blvd, #8g, Wellington, FL 33414 | 5617534998 |
| Street Address |
4200 PURDY LN |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33461-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245493469 | Jyll Ann Chandler Reyes | Speech-Language Pathologist | 160 N Luring Dr Ste H, Palm Springs, CA 92262-6840 | 2008-07-08 |
| 1255804100 | Milestones Speech and Language Therapy | Speech-Language Pathologist | 160 N Luring Dr Ste H, Palm Springs, CA 92262-6840 | 2019-01-03 |
| 1134546377 | Semeli Reyes | Speech-Language Pathologist | 552 S Paseo Dorotea, Suite 4, Palm Springs, CA 92264-1437 | 2014-03-26 |
| 1649600925 | Cheryl Stover | Speech-Language Pathologist | 552 S Paseo Dorotea, Suite 4, Palm Springs, CA 92264-1437 | 2013-11-22 |
| 1912126558 | Sherry Deguire | Speech-Language Pathologist | 4050 Airport Center Dr, Suite D, Palm Springs, CA 92264-1216 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578135 | Jennifer Savary Duggar | Speech-Language Pathologist | 744 Lonnie Raker Ln, Crawfordville, FL 32327-0125 | 2020-11-02 |
| 1952900458 | Emily Morgan Thomas | Speech-Language Pathologist | 4141 Ashton Club Dr, Lake Wales, FL 33859-5703 | 2020-10-26 |
| 1558960005 | Amanda Lacroix | Speech-Language Pathologist | 1333 Gateway Dr, Melbourne, FL 32901-2646 | 2020-10-25 |
| 1417556952 | Global Speech Pathology, LLC | Speech-Language Pathologist | 3882 Sand Dune Ct, Destin, FL 32541-3210 | 2020-10-24 |
| 1609475094 | Erika Michele Moorman | Speech-Language Pathologist | 1031 Seminole Dr, Fort Lauderdale, FL 33304-3243 | 2020-10-18 |
| 1396343984 | Roxana Gonzalez Corp | Speech-Language Pathologist | 13965 Sw 160th Ter, Miami, FL 33177-1907 | 2020-10-15 |
| 1518564202 | Christie L Williams | Speech-Language Pathologist | 4715 Nw 28th Ter, Gainesville, FL 32605-1105 | 2020-10-06 |
| 1598362204 | Speech of Miami Inc | Speech-Language Pathologist | 671 Biltmore Way Apt 503, Coral Gables, FL 33134-7502 | 2020-10-06 |
| 1043817836 | Cassandra Grace Cuyler | Speech-Language Pathologist | 5458 Town Center Rd Ste 1, Boca Raton, FL 33486-1026 | 2020-10-05 |
| 1386241354 | Justina J Falcone | Speech-Language Pathologist | 3223 Sw 15th Pl, Cape Coral, FL 33914-1505 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on STACEY CHILDERS.
| 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.