Individual provider Active NPI

Susan Beth Cahill

  • Speech-Language Pathologist
  • Palmdale, CA
National Provider Identifier
1083939755
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 10094 Issued in CA
Practice address
3167 Rancho Vista Blvd
Suite D
Palmdale, CA 93551
Phone
(661) 266-9578
Fax
(661) 266-2208
NPI assigned
Apr 6, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 10094 CA Primary

Addresses

Primary practice location

3167 Rancho Vista Blvd
Suite D
Palmdale, CA 93551

Mailing address

39919 Dyott Way
Palmdale, CA 93551-2924
Phone (661) 526-5903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519002134 NC Practitioner - Qualified Speech Language Pathologist 9335667849 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13679NCMDOccupational Therapy Assistant
SP 10094CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidal Therapy Solutions LLC Speech-Language Pathologist CurrentSince May 1, 2025 Accepting new patients
Antelope Valley Physical Therapy, Inc. PastSince Sep 1, 2018 Accepting new patients

Locations

2761 NC Highway 210 E
Ste G
Hampstead, NC 28443
Phone (775) 481-7908

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1083939755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39919 DYOTT WAY",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512924",
            "telephone_number": "661-526-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 RANCHO VISTA BLVD",
            "address_2": "SUITE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-266-9578",
            "fax_number": "661-266-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 10094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.