Bay Area Speech Pathology Studio, Inc.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

18518 Issued in CA

Legal business name

BAY AREA SPEECH PATHOLOGY STUDIO, INC.

Practice address

478 Warren Dr
#311
San Francisco, CA 94131-1068

Phone

(415) 213-2874

NPI assigned

Mar 15, 2014

Last updated

Mar 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Nicole Ihle, MA CCC-SLPNPI 1740503572

Title

Owner/Speech Language Pathologist

Phone

(414) 339-4202

Specialties & licenses 1

Addresses

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.

• Amanda Nicole Ihle, SLP

  • Speech-Language Pathologist
  • Hudson, WI
  • NPI 1740503572
  Authorized official Same address or phone

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394841600000",
    "number": "1043636939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 WARREN DR",
            "address_2": "#311",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941311068",
            "telephone_number": "415-213-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 WARREN DR",
            "address_2": "#311",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941311068",
            "telephone_number": "415-213-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SPEECH PATHOLOGY STUDIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-15",
        "status": "A",
        "authorized_official_last_name": "IHLE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "414-339-4202",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "18518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Radiology, PC
• Bay Area Rehabilitation Medical Group
• Bay Area Rehabilitation Medical Group
• Bay Area Somatic Therapy Center
• Bay Area Sound Speech and Hearing Clinic, PC (Sound Speech and Hearing Clinic)
• Bay Area Surgical Specialists
• Bay Drug, LLC (Bay Drug)
• Bay Home Health Care
• Bay Internal Medicine
• Bay Psychological Associates, Inc.

• Hearing and Speech Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.