KIDS' VILLAGE THERAPY, LLC
NPI 1104150986
Speech-Language Pathologist in Ellicott City, MD

NPI Status: Active since September 25, 2009

Contact Information

5060 DORSEY HALL DR
SUITE 204
ELLICOTT CITY, MD
ZIP 21042
Phone: (443) 283-0618
Fax: (443) 283-0347

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  • Speech-Language Pathologist

About KIDS' VILLAGE THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Kids' Village Therapy, Llc, a provider established in Ellicott City, Maryland operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1104150986 assigned on September 2009. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Kids' Village Therapy, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dana Cheryl Mason M.a., Slp (Speech Language Pathologist)

NPI
1104150986
Provider Name
KIDS' VILLAGE THERAPY, LLC
Entity Type
Organization
Location Address
5060 DORSEY HALL DR SUITE 204 ELLICOTT CITY, MD 21042
Location Phone
(443) 283-0618
Location Fax
(443) 283-0347
Mailing Address
5060 DORSEY HALL DR SUITE 204 ELLICOTT CITY, MD 21042
Mailing Phone
(443) 283-0618
Mailing Fax
(443) 283-0347
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2009
Last Update Date
09-25-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANA CHERYL MASON M.A., SLP

Authorized Official Title
SPEECH LANGUAGE PATHOLOGIST
Authorized Official Phone
(443) 283-0618

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104150986
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104250916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 5 + 0 + 9 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1104150986 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467585588DR. PAUL DEAN BIEDERMAN DDS
Individual
Dentist (Pediatric Dentistry)5060 DORSEY HALL DR SUITE 104
ELLICOTT CITY, MD 21042
(410) 740-0606
1982670287DR. DANIEL ERIK BIEDERMAN DDS
Individual
Dentist (Pediatric Dentistry)5060 DORSEY HALL DR
ELLICOTT CITY, MD 21042
(410) 740-0606
1265684492MR. CHRISTOPHER SCOTT THOMAS LCSW-C, LICSW
Individual
Social Worker (Clinical)5060 DORSEY HALL DR #204
ELLICOTT CITY, MD 21042
(410) 615-9717

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104150986, enumerated in the NPI registry as an "organization" on September 25, 2009

The provider is located at 5060 Dorsey Hall Dr Suite 204 Ellicott City, Md 21042 and the phone number is (443) 283-0618

This medical organization specializes in Speech-Language Pathologist with taxonomy code 235Z00000X

This NPI record was last updated on September 25, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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