NPIMap

Organization Active NPI

Applied Speech Communication

  • Speech-Language Pathologist
  • Modesto, CA
National Provider Identifier
1073874764
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12114980 Issued in CA
Legal business name
APPLIED SPEECH COMMUNICATION
Practice address
3117 McHenry Ave
Suite B
Modesto, CA 95350-1470
Phone
(209) 544-1032
Fax
(209) 491-7184
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Sandra Gaskell, CCC-SLP.DNPI 1588979058
Title
Owner
Phone
(209) 544-1032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 12114980 CA Primary

Addresses

Primary practice location

3117 McHenry Ave
Suite B
Modesto, CA 95350-1470

Mailing address

3117 McHenry Ave Ste B
Modesto, CA 95350-1470
Phone (209) 544-1032

National Provider Directory

National Provider Directory

Locations

3117 McHenry Ave
Ste B
Modesto, CA 95350
Phone (209) 544-1032

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": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1073874764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 MCHENRY AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501470",
            "telephone_number": "209-544-1032",
            "fax_number": "209-491-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 MCHENRY AVE",
            "address_2": "SUITE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501470",
            "telephone_number": "209-544-1032",
            "fax_number": "209-491-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED SPEECH COMMUNICATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "GASKELL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-544-1032",
        "authorized_official_credential": "CCC-SLP.D"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12114980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.