Organization Active NPI

Social Communication Specialists Speech Therapy Clinic Apc

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1073873451
Registry record updated May 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12244 Issued in CA
Legal business name
SOCIAL COMMUNICATION SPECIALISTS SPEECH THERAPY CLINIC APC
Practice address
5665 Oberlin Dr
Suite 201
San Diego, CA 92121-1737
Phone
(858) 558-9552
NPI assigned
May 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2012

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

Authorized official

Name
Janet Dudley, M.ED., CCC-SLP
Title
President/Speech Pathologist
Phone
(858) 558-9552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 12244 CA Primary

Addresses

Primary practice location

5665 Oberlin Dr
Suite 201
San Diego, CA 92121-1737

Mailing address

5665 Oberlin Dr
Suite 201
San Diego, CA 92121-1737
Phone (858) 558-9552

National Provider Directory

National Provider Directory
Tax ID family
Social Communication Specialists Speech Therapy Clinic Apc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5665 Oberlin Dr
Ste 201
San Diego, CA 92121
Phone (760) 652-4035

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337472000000",
    "number": "1073873451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 OBERLIN DR",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211737",
            "telephone_number": "858-558-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 OBERLIN DR",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211737",
            "telephone_number": "858-558-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL COMMUNICATION SPECIALISTS SPEECH THERAPY CLINIC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2012-05-20",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "858-558-9552",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2012; 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.