Teri Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TERI INC.

Practice address

9606 Tierra Grande Street
Suite 107
San Diego, CA 92126

Phone

(858) 695-9415

Fax

(858) 695-9412

NPI assigned

Dec 4, 2006

Organization subpart

Yes

Parent organization

TERI INC.As reported in NPPES

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

Authorized official

Name

Cheryl Kilmer

Title

Ceo

Phone

(760) 721-1706

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Crimson Center for Speech and Language Pathology Former legal business name

Tax ID family

Teri Inc4 organizations share this tax ID, including this one

Part of

Teri Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Teri Inc.

  • Mental Illness Intermediate Care Facility
  • Vista, CA
  • NPI 1093137762
  NPD tax ID
• Teri Inc.

  • Mental Illness Intermediate Care Facility
  • Vista, CA
  • NPI 1679249072
  NPD tax ID
• Teri, Inc

  • Mental Illness Intermediate Care Facility
  • Oceanside, CA
  • NPI 1962488007
  NPD tax ID

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1003974296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 AIRPORT RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581201",
            "telephone_number": "760-721-1706",
            "fax_number": "760-231-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 TIERRA GRANDE STREET",
            "address_2": "SUITE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "858-695-9415",
            "fax_number": "858-695-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TERI INC.",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "KILMER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-721-1706"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP0075690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAN DIEGO REGIONAL CENTER",
            "identifier": "PQ 0507",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crimson Center for Speech and Language Pathology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, 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 Oct 24, 2018; 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.