Supernova Speech Therapy, a Professional Speech Language Pathology Cor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SUPERNOVA SPEECH THERAPY, A PROFESSIONAL SPEECH LANGUAGE PATHOLOGY COR

Practice address

2017 Palo Verde Ave Ste 201
Long Beach, CA 90815-3300

Phone

(562) 317-1477

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Kathy Magana-Gomez, SLPNPI 1538582663

Title

Ceo/Speech Language Pathologist

Phone

(562) 317-1477

Specialties & licenses 1

Addresses

Other names 1

• Supernova Speech Therapy Doing business as

Locations

Practitioners 4

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

• Kathy Magana-Gomez, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Long Beach, CA
  • NPI 1538582663
  NPD Authorized official
• Madelynn Alexandra Main, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Long Beach, CA
  • NPI 1881480218
  NPD (past)
• Charizma Orlino

  • Speech-Language Pathologist
  • Long Beach, CA
  • NPI 1639994999
  NPD (past)
• Leslie Rachael Young, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Long Beach, CA
  • NPI 1760903769

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1053027441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 PALO VERDE AVE STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153300",
            "telephone_number": "562-317-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 PALO VERDE AVE STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153300",
            "telephone_number": "562-317-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERNOVA SPEECH THERAPY, A PROFESSIONAL SPEECH LANGUAGE PATHOLOGY COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "MAGANA-GOMEZ",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "562-317-1477",
        "authorized_official_credential": "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": "Supernova Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Long Beach, CA
• Providers in Long Beach, 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 Apr 28, 2026; 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.