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SUPERPSYCHED LLC NPI 1447923321


NPI Information

NPI: 1447923321
Provider Name: SUPERPSYCHED, LLC

Doing Business As: SUPERPSYCHED LLC

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
8690 BROADWAY STE A
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 315-9700
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SUPERPSYCHED, LLC is a speech language pathologist in Merrillville, IN. The provider is 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. SUPERPSYCHED, LLC NPI is 1447923321. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Superpsyched Llc.

The provider's business location address is:

8690 BROADWAY STE A
MERRILLVILLE, IN
ZIP 46410-034
Phone: (219) 315-9700

The provider's authorized official is Charmanika Mosley .
The authorized official title is Chief Executive Officer / Sole Owne and has the following contact phone number (219) 750-9600.

The enumeration date for this NPI number is 7/27/2021 and was last updated on 3/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2224Z00000XOccupational Therapy AssistantNo
3224ZE0001XOccupational Therapy AssistantEnvironmental ModificationNo
4224ZF0002XOccupational Therapy AssistantFeeding, Eating & SwallowingNo
5225100000XPhysical TherapistNo
62251P0200XPhysical TherapistPediatricsNo
72251X0800XPhysical TherapistOrthopedicNo
82355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
9225XH1300XOccupational TherapistHuman FactorsNo
10225XM0800XOccupational TherapistMental HealthNo
11225200000XPhysical Therapy AssistantNo
12225XE0001XOccupational TherapistEnvironmental ModificationNo
13225XF0002XOccupational TherapistFeeding, Eating & SwallowingNo
14235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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