SAGAMORE SCHOOL, LLC (NPI# 1588007652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588007652 |
| Entity Type | Organization |
| Organization Name | SAGAMORE SCHOOL, LLC |
| Practice Address |
6820 Lyons Technology Pkwy Suite 230 Coconut Creek FL 33073-4314 |
| Mailing Address |
6820 Lyons Technology Circle Suite 230 Coconut Creek FL 33073 |
| Practice Telephone | 9544209566 |
| Practice Fax Number | 9549054382 |
| Mailing Telephone | 9544209566 |
| Mailing Fax Number | 9549054382 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | DR. LISA RACHEL GROSSMAN (CO-OWNER) |
| Authorized Official Telephone | 9544209566 |
| Authorized Official Credential | E.D.D., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW9748 | FL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MT1955 | FL | Behavioral Health & Social Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SA7678 | FL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SA4869 | FL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SA10302 | FL | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SA5302 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
6820 LYONS TECHNOLOGY PKWY SUITE 230 |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33073-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588181937 | Bridge Therapy, LLC | Speech-Language Pathologist | 4072 Nw 63rd Street, Coconut Creek, FL 33073 | 2017-08-26 |
| 1104354224 | Acorn and Oak Inc | Speech-Language Pathologist | 5485 Wiles Rd Ste 402, Coconut Creek, FL 33073-4221 | 2017-06-02 |
| 1225425770 | Maria Vera Martinez | Speech-Language Pathologist | 4602 Tamarind Cir, Coconut Creek, FL 33063-3824 | 2015-04-22 |
| 1184014615 | Lauren Bronshteyn | Speech-Language Pathologist | 6933 Julia Gardens Dr, Coconut Creek, FL 33073-2151 | 2015-02-04 |
| 1104259357 | Amanda Sue Lee | Speech-Language Pathologist | 5200 Nw 55th Blvd Apt 101, Coconut Creek, FL 33073-3796 | 2013-08-12 |
| 1053650077 | One Word One Step | Speech-Language Pathologist | 2603 Carambola Cir N, Coconut Creek, FL 33066-2424 | 2013-02-12 |
| 1215289624 | Meghan Gavagni | Speech-Language Pathologist | 6504 Flamingo Way, Coconut Creek, FL 33073-4516 | 2012-10-09 |
| 1700041704 | Lou Ann Wasserman | Speech-Language Pathologist | 4125 W Sample Rd, Coconut Creek, FL 33073-4456 | 2008-07-20 |
| 1720245210 | Robin Lynn Noye | Speech-Language Pathologist | 4926 Nw 55th Blvd, Coconut Creek, FL 33073-3309 | 2008-05-21 |
| 1477744969 | Nancy Dagostino | Speech-Language Pathologist | 3410 Nw 21st Street, Coconut Creek, FL 33066-3014 | 2007-08-08 |
| Find all providers in COCONUT CREEK | ||||
| City | COCONUT CREEK |
| Zip Code | 33073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.