Fog City Speech and Language Therapy P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FOG CITY SPEECH AND LANGUAGE THERAPY P.C.

Practice address

90 Woodacre Dr Ste 101
San Francisco, CA 94132-1658

Phone

(415) 827-8779

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Heather HardieNPI 1568866630

Title

Ceo

Phone

(415) 827-8779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Heather Hardie, M.S. CCC-SLP

  • Speech-Language Pathologist
  • San Francisco, CA
  • NPI 1568866630
  Medicare reassignment NPD Authorized official
• Sara Hollister Spencer, M.S. CCC

  • Speech-Language Pathologist
  • San Francisco, CA
  • NPI 1053485169
  NPD (past)

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1063137420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WOODACRE DR STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WOODACRE DR STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321658",
            "telephone_number": "415-827-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOG CITY SPEECH AND LANGUAGE THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "HARDIE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-827-8779"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reta R. Flynt
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• Paul Christopher Focht, M.S.
• Amina Mostafa Foda, PSYD
• Fog City Home Health
• Bruce Fogel, DDS
• Isabella Fogel
• Peter Brian Fogel, LMFT
• Grace Fohn
• Brittany Fohrman

• Speech-Language Pathologist in San Francisco, CA
• Providers in San Francisco, 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 Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.