Active NPI
Rachael Connelly, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Hayward, CA
National Provider Identifier
1003536715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23148
- Practice address
- 352 Harder Rd
Hayward, CA 94544-2830 - Phone
- (805) 452-1387
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1336559 | IL | |
| Speech-Language Pathologist | 235Z00000X | 23148 | CA | Primary |
Addresses
Primary practice location
352 Harder Rd
Hayward, CA 94544-2830
Mailing address
PO Box 5000
Hayward, CA 94540-0001
Phone (510) 784-2600
Other practice location 1
Mt Zion Elementary
725 W Main St
Mt Zion, IL 62549
Phone (217) 864-3631 ext. 1636
Other practice location 2
1320 W Main St
MT Zion, IL 62549-1348
Phone (217) 864-1711
Other practice location 3
165 S Dennis Ave
Decatur, IL 62522-2636
Phone (805) 452-1387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1336559 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1003536715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5000",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945400001",
"telephone_number": "510-784-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 HARDER RD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945442830",
"telephone_number": "805-452-1387"
}
],
"practiceLocations": [
{
"address_1": "Mt Zion Elementary",
"address_2": "725 W Main St",
"address_purpose": "LOCATION",
"city": "Mt Zion",
"state": "IL",
"postal_code": "62549",
"country_code": "US",
"telephone_number": "217-864-3631 x1636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 W Main St",
"address_purpose": "LOCATION",
"city": "MT Zion",
"state": "IL",
"postal_code": "625491348",
"country_code": "US",
"telephone_number": "217-864-1711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "165 S Dennis Ave",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625222636",
"country_code": "US",
"telephone_number": "805-452-1387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNELLY",
"first_name": "RACHAEL",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "1336559",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "23148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.