Converge Speech Therapy

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

CONVERGE SPEECH THERAPY

Practice address

14 Oak Treat CT
Walnut Creek, CA 94597-6700

Phone

(925) 330-8429

NPI assigned

Jun 24, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Craig Steven McIntire-Mann, MS, CCC-SLPNPI 1053694281

Title

Speech-Language Pathologist

Phone

(925) 330-8429

Specialties & licenses 1

Addresses

Other names 1

• Converge Speech Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Steven McIntire-Mann, MS CCC-SLP

  • Speech-Language Pathologist
  • Walnut Creek, CA
  • NPI 1053694281
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1003485939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OAK TREAT CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945976700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OAK TREAT CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945976700",
            "telephone_number": "925-330-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "MCINTIRE-MANN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "925-330-8429",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Converge Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Alberto Contreras, M.D.
• David Contreras, M.D.
• Jessica Contreras
• Mila Karina Contreras
• Marryann Contridas
• Monica Alcantara Conway, LMFT
• David Allen Cook, MD
• Dylan Cook
• Ian Cameron Cook, PH D
• Juliane Kathryn Cook, PHD

• Hearing and Speech Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.