BAYSIDE SPEECH THERAPY, INC. (NPI# 1780072215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780072215 |
| Entity Type | Organization |
| Organization Name | BAYSIDE SPEECH THERAPY, INC. |
| Practice Address |
468 Investors Pl Suite 200 Virginia Beach VA 23452-1109 |
| Practice Telephone | 7575520400 |
| Practice Fax Number | 7575520401 |
| Mailing Telephone | 7575520400 |
| Mailing Fax Number | 7575520401 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | MRS. JULIA SYDNOR (PRESIDENT) |
| Authorized Official Telephone | 7575520400 |
| Authorized Official Credential | M.ED., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202006232 | VA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578954962 | Bayside Speech Therapy, Inc. | Occupational Therapist | 11864 Crestridge Loop, Trinity, FL 34655-0018 | 2015-02-07 |
| Street Address |
468 INVESTORS PL SUITE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1124646278 | Minichiello Therapy Services | Speech-Language Pathologist | 4312 Madison Mews Dr, Virginia Beach, VA 23456-8242 | 2020-07-06 |
| 1447807656 | Andrea Elizabeth Crowley | Speech-Language Pathologist | 645 Declaration Rd, Virginia Beach, VA 23462-2252 | 2019-08-22 |
| 1790255198 | Michael Mascolo | Speech-Language Pathologist | 2213 Round Hill Dr, Virginia Beach, VA 23464-8855 | 2018-11-28 |
| 1790255149 | Mary Judith Weaver | Speech-Language Pathologist | 1716 Grey Friars Chase, Virginia Beach, VA 23456-5435 | 2018-11-28 |
| 1356810774 | Gretchen Himes | Speech-Language Pathologist | 601 S Lynnhaven Rd, Virginia Beach, VA 23452-6536 | 2018-11-14 |
| 1659850311 | Sonia Carmen Violette | Speech-Language Pathologist | 5301 Providence Rd Ste 80&90, Virginia Beach, VA 23464-4128 | 2018-08-13 |
| 1265927123 | Rita Bland | Speech-Language Pathologist | 4508 Harshaw Ct, Virginia Beach, VA 23456-4849 | 2018-06-24 |
| 1437656949 | Tonya Jill Macdonald | Speech-Language Pathologist | 3532 Kings Grant Rd, Virginia Beach, VA 23452-4531 | 2018-04-11 |
| 1902301575 | Erin Kathleen Cooper | Speech-Language Pathologist | 1257 Rosemont Rd, Virginia Beach, VA 23453-2119 | 2018-03-27 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.