Maryann Chwalek, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4351 Issued in CA

Practice address

760 Polhemus Rd
San Mateo, CA 94402-3938

Phone

(650) 349-8717

NPI assigned

Feb 7, 2019

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Peninsula Associates Speech Therapy Services, Inc.

  • Speech-Language Pathologist
  • Menlo Park, CA
  • NPI 1942770417
  NPD (past)

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1063977650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 POLHEMUS RD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023938",
            "telephone_number": "650-349-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 POLHEMUS RD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023938",
            "telephone_number": "650-349-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHWALEK",
        "first_name": "MARYANN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP4351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carie Tze-Wan Chui, M.D.
• Stephanie Chun
• Andrew Chung
• Hilda Chung
• Rebecca Church
• Richard Ray Cicinelli, M.D.
• Noah Daniel Cildir
• Adrianna Cimera, MASTER OF SCIENCE
• Amanda Cinquegrano, FNP-C
• Amber Chantelle Cioffi, A.S.W.

• Speech-Language Pathologist in San Mateo, CA
• Providers in San Mateo, 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 Feb 7, 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.