Jillian Marie Boccardo, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP18272 Issued in CA

Practice address

4675 Via Los Santos
Santa Barbara, CA 93111-1346

Phone

(805) 964-2700

Fax

(805) 964-2722

NPI assigned

Feb 11, 2009

Last updated

Jan 8, 2019By 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

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.

• Center for Developmental Play and Learning Inc

  dba CDPL

  • Behavior Analyst
  • Santa Barbara, CA
  • NPI 1467882936
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1063651255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 VIA LOS SANTOS",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111346",
            "telephone_number": "805-964-2700",
            "fax_number": "805-964-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 VIA LOS SANTOS",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111346",
            "telephone_number": "805-964-2700",
            "fax_number": "805-964-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCARDO",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP18272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevina Kunihira Blumer
• Lowell Boardman, CATC
• Wesley James Boatman
• Sierra Anne Boatwright, LMFT
• Toby Leila Bobes
• Holland May Boege
• Traver Boehm, L.AC, DIPL. O.M.
• Brandon Boesch, D.O.
• Mitchell E Bogatz, AMFT
• John J Bohannan, MD

• Speech-Language Pathologist in Santa Barbara, CA
• Providers in Santa Barbara, 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 Jan 8, 2019; 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.