NPIMap

Organization Active NPI

Itherapy, a Speech Pathology Corporation

  • Speech-Language Pathologist
  • Vallejo, CA
National Provider Identifier
1083215792
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ITHERAPY, A SPEECH PATHOLOGY CORPORATION
Practice address
955 Walnut Avenue
Vallejo, CA 94592
Phone
(707) 651-9915
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Matthew GuggemosNPI 1225379506
Title
Co-Founder/Speech-Language Patholog
Phone
(707) 656-3688

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 Primary

Addresses

Primary practice location

955 Walnut Avenue
Vallejo, CA 94592

Mailing address

955 Walnut Avenue
Vallejo, CA 94592
Phone (707) 651-9915

National Provider Directory

National Provider Directory

Locations

955 Walnut Ave
Vallejo, CA 94592
Phone (707) 651-9915

195 Glen Cove Marina Rd E
Ste 200
Vallejo, CA 94591
Phone (707) 651-9915

Practitioners & affiliated clinicians

Practitioners 6

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1083215792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WALNUT AVENUE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592",
            "telephone_number": "707-651-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WALNUT AVENUE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592",
            "telephone_number": "707-651-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHERAPY, A SPEECH PATHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "GUGGEMOS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CO-FOUNDER/SPEECH-LANGUAGE PATHOLOG",
        "authorized_official_telephone_number": "707-656-3688"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.