MS. TRACEY AILEEN DOHERTY CCC-SLP
NPI 1770854150
Speech-Language Pathologist in Palm Bay, FL

NPI Status: Active since January 18, 2012

Contact Information

5405 BABCOCK ST NE
PALM BAY, FL
ZIP 32905
Phone: (321) 951-2202
Fax: (321) 951-2201

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  • Individual
  • Female
  • Speech-Language Pathologist

About TRACEY DOHERTY

This page provides the complete NPI Profile along with additional information for Tracey Doherty, a provider established in Palm Bay, Florida with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1770854150 assigned on January 2012. The practitioner's primary taxonomy code is 235Z00000X with license number SA7922 (FL). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1770854150
Provider Name
MS. TRACEY AILEEN DOHERTY CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
5405 BABCOCK ST NE PALM BAY, FL 32905
Location Phone
(321) 951-2202
Location Fax
(321) 951-2201
Mailing Address
5405 BABCOCK ST NE PALM BAY, FL 32905
Mailing Phone
(321) 951-2202
Mailing Fax
(321) 951-2201
Is Sole Proprietor?
Yes
Enumeration Date
01-18-2012
Last Update Date
06-29-2015
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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
License No.
SA7922
License State
FL
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.

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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.
1770854150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401658110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 6 + 5 + 8 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1770854150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487924049 ERNA DIOKNO DEL CASTILLO P.T.
Individual
Physical Therapist5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-9801
1912278425MS. PATTY JEAN BOHR PTA
Individual
Physical Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660
1427329887MR. JOHN LEONARD WILSON JR. PTA
Individual
Physical Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-9801
1386915346MR. VICTOR LUCENTE
Individual
Occupational Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-9801
1639440696MRS. JOLANTA LUCENTE
Individual
Occupational Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-9801
1952644338 ARLENE PAGAN-PALERMO PTA
Individual
Physical Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660
1861830184 THERESA FITZGERALD COTA/L
Individual
Occupational Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660
1043266455PALM BAY HEALTH CARE ASSOCIATES LLC
Organization
Skilled Nursing Facility5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660
1568826931 COLLEEN BESSA COTA
Individual
Occupational Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660
1942791801 AILENA SOWDEN PATTERSON
Individual
Occupational Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660
1407311640DR. NATALIE JEAN SULLIVAN PHD, CCC-SLP
Individual
Speech-Language Pathologist5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660
12556009045405 BABCOCK STREET OPERATIONS LLC
Organization
Skilled Nursing Facility5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660
1699531780 CURTIS PUTNAM
Individual
Physical Therapy Assistant5405 BABCOCK ST NE
PALM BAY, FL 32905
(855) 699-6312
13864166005405 BABCOCK ST NE OPCO LLC
Organization
Skilled Nursing Facility5405 BABCOCK ST NE
PALM BAY, FL 32905
(321) 722-0660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770854150, enumerated in the NPI registry as an "individual" on January 18, 2012

The provider is located at 5405 Babcock St Ne Palm Bay, Fl 32905 and the phone number is (321) 951-2202

The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X

This NPI record was last updated on January 18, 2012. 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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