Organization Active NPI

Neural Pathways Speech Therapy Inc

  • Speech-Language Pathologist
  • Elk Grove, CA
National Provider Identifier
1043060163
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEURAL PATHWAYS SPEECH THERAPY INC
Practice address
8484 Sun Berry CT
Elk Grove, CA 95624-1260
Phone
(510) 857-6554
NPI assigned
Mar 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Elizabeth Lais Opena Tijiboy, M.S., CCC-SLPNPI 1912629569
Title
Ceo/Owner
Phone
(510) 857-6554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

8484 Sun Berry CT
Elk Grove, CA 95624-1260

Mailing address

8484 Sun Berry CT
Elk Grove, CA 95624-1260
Phone (510) 857-6554

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1043060163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 SUN BERRY CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241260",
            "telephone_number": "510-857-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 SUN BERRY CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241260",
            "telephone_number": "510-857-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURAL PATHWAYS SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "TIJIBOY",
        "authorized_official_first_name": "ELIZABETH LAIS",
        "authorized_official_middle_name": "OPENA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "510-857-6554",
        "authorized_official_credential": "M.S., 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": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.