PORTLAND PEDIATRIC SPEECH THERAPY
NPI 1164966529
Speech-Language Pathologist in South Portland, ME
NPI Status: Active since December 05, 2016
Contact Information
341 HIGHLAND AVE # 1
SOUTH PORTLAND, ME
ZIP 04106
Phone: (301) 802-8342
- Organization
- Speech-Language Pathologist
- CLIA Number: 20D2156912
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-25-2026
About PORTLAND PEDIATRIC SPEECH THERAPY
This page provides the complete NPI Profile along with additional information for Portland Pediatric Speech Therapy, a provider established in South Portland, Maine operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1164966529 assigned on December 2016. The practitioner's primary taxonomy code is 235Z00000X with license number SP2317 (ME). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Susan Bahadori M.a., Ccc-slp (Speech-language Pathologist)
- NPI
- 1164966529
- Provider Name
- PORTLAND PEDIATRIC SPEECH THERAPY
- Entity Type
- Organization
- Location Address
- 341 HIGHLAND AVE # 1 SOUTH PORTLAND, ME 04106
- Location Phone
- (301) 802-8342
- Mailing Address
- 341 HIGHLAND AVE # 1 SOUTH PORTLAND, ME 04106
- Mailing Phone
- (301) 802-8342
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2016
- Last Update Date
- 12-05-2016
- Code Navigator
Location Map
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.
- SP2317
- License State
- ME
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D2156912
- Facility Type
- Physician Office
- Certificate Effective Date
- October 26, 2024
- Certificate Expiration Date
- October 25, 2026
- Laboratory Director
- OREN L. GERSTEN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Portland Pediatric Speech Therapy in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164966529, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SOUTH PORTLAND, ME 04106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164966529, enumerated as an "organization" on December 05, 2016.
The provider is located at 341 HIGHLAND AVE # 1 SOUTH PORTLAND, ME 04106 and the phone number is (301) 802-8342.
Speech-Language Pathologist with taxonomy code 235Z00000X.
