THE SHANDY CLINIC
NPI 1215548425
Speech-Language Pathologist in Colorado Springs, CO

Q: What is Buck Jack LLC's NPI number?

The NPI number for Buck Jack LLC is 1215548425. It was assigned to this organization in the NPPES registry on August 11, 2020. The provider is doing business as The Shandy Clinic.

Q: What is Buck Jack LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Buck Jack LLC was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 11, 2020

6190 BARNES RD, COLORADO SPRINGS, CO 80922(719) 247-1511(719) 599-4606 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2020, Sep 21, 2020, Sep 15, 2020 and 1 more (4 updates tracked since 2020).

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About The Shandy Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SHANDY CLINIC (NPI 1215548425) is a healthcare organization registered as a speech-language pathologist in Colorado Springs, Colorado and active in the NPI registry since August 2020. The organization lists William Colt, President, as its authorized official.

NPPES Registry Identity

NPI1215548425

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameBUCK JACK LLC

Location Address6190 BARNES RDColorado Springs, CO 80922-2600

Mailing Address685 Citadel Dr E Ste 580Colorado Springs, CO 80909-5381 · (713) 725-9181 · Fax (719) 599-4606

Phone(719) 247-1511

Fax(719) 599-4606

Organization SubpartNo

Authorized OfficialWilliam ColtPresident · (713) 410-6889

Enumeration DateAugust 11, 2020

Last NPPES UpdateOctober 1, 20204 updates tracked since enumeration

NPPES CertifiedOctober 1, 2020

✔ NPI 1215548425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

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.

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

6190 BARNES RD, Colorado Springs, CO 80922

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Other Names 1

Doing Business AsThe Shandy Clinic

Other Identifiers 1

Medicaid9000181601CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

K PATRICK MCCAFFERY

Specialist