Elaine Maria Stevick, M.A., C.C.C.-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2710 Issued in CA

Practice address

1301 Redwood Way
Suite 165
Petaluma, CA 94954-1107

Phone

(707) 763-6419

Fax

(707) 763-2537

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Pathology Services of Marin Sonoma Incorportated

  • Speech-Language Pathologist
  • Petaluma, CA
  • NPI 1801019773
  NPD (past) Authorized official
• Walker Speech Therapy, Inc.

  dba Speech and Language Services of Marin-Sonoma

  • Speech-Language Pathologist
  • Petaluma, CA
  • NPI 1316404197
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043366198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 REDWOOD WAY",
            "address_2": "SUITE 165",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541107",
            "telephone_number": "707-763-6419",
            "fax_number": "707-763-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 REDWOOD WAY",
            "address_2": "SUITE 165",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541107",
            "telephone_number": "707-763-6419",
            "fax_number": "707-763-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVICK",
        "first_name": "ELAINE",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "M.A., C.C.C.-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP2710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATH LICENSE",
            "identifier": "SP2710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andria Laurel Steinkamp, R.N., N.P.
• Danielle Stensvold, ATC
• Stephen Denigris MD PHD
• Sharon Anne Sterne, PH.D.
• Lucia Marina Sterpone, RDN
• Tamara Shaye Stewart
• Jennifer Alana Stoermer
• Billie Stone, CHT.
• Annette A Strack, PH.D.
• Nicholas Geoffrey Strange, D.O

• Speech-Language Pathologist in Petaluma, CA
• Providers in Petaluma, 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 8, 2007; 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.