Speakeasy Speech Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEAKEASY SPEECH THERAPY, INC.

Practice address

26522 La Alameda Ste 395
Mission Viejo, CA 92691-8011

Phone

(949) 463-2226

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Rachel BosemerNPI 1174009450

Title

Owner

Phone

(949) 463-2226

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Rachel Jayne Bosemer, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mission Viejo, CA
  • NPI 1174009450

  Single Specialty

  NPD Authorized official
• Mariah Kristine Baldwin, CCC-SLP

  • Speech-Language Pathologist
  • Mission Viejo, CA
  • NPI 1780479451
  NPD (past)

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1003594201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 395",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 395",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918011",
            "telephone_number": "949-463-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKEASY SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "BOSEMER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-463-2226"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Sunrise Recovery Center
• Southland Family & Urgent Care Inc
• Southland Family & Urgent Care Inc
• Southland Physical Therapy Mission Viejo Clinic, PC
• SP Pediatrics
• Sasha Daniel Speare, RN
• Spectrum Health Alliance, LLC
• Lisa Speier, OTR/L
• Julia Spence
• Jennifer Lynn Spignese, FNP-C, MSN, RN

• Speech-Language Pathologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.