Syllabloom Speech Therapy, P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SYLLABLOOM SPEECH THERAPY, P.C.

Doing business as

SyllaBloo, Speech therapy P.C
SyllaBloom Speech Therapy, P.C.

Practice address

11160 Night Shadow Dr
Moreno Valley, CA 92555-6548

Phone

(951) 796-7184

NPI assigned

Sep 1, 2025

Organization subpart

No

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

Authorized official

Name

Kellie Diaz, CCC-SLPNPI 1487547444

Title

SLP

Phone

(951) 796-7184

Specialties & licenses 1

Addresses

Other names 2

• SyllaBloo, Speech therapy P.C Doing business as
• SyllaBloom Speech Therapy, P.C. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kellie Nicole Diaz

  • Speech-Language Pathologist
  • Moreno Valley, CA
  • NPI 1487547444
  NPD Authorized official

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1013896240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 NIGHT SHADOW DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 NIGHT SHADOW DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556548",
            "telephone_number": "951-796-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLLABLOOM SPEECH THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "951-796-7184",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SyllaBloo, Speech therapy P.C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SyllaBloom Speech Therapy, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Moreno Valley, CA
• Providers in Moreno Valley, 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 Sep 1, 2025; 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.