NPIMap

Organization Active NPI

Nichols Speech Pathology and Therapy Services, Inc.

  • Speech-Language Pathologist
  • Temecula, CA
National Provider Identifier
1093034779
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP12646 Issued in CA
Legal business name
NICHOLS SPEECH PATHOLOGY AND THERAPY SERVICES, INC.
Practice address
41689 Enterprise CR. No.
Suite 118
Temecula, CA 92590
Phone
(951) 541-0615
Fax
(951) 296-1943
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Mrs. Jamie Nichols, MS CCC-SLPNPI 1477789485
Title
Owner, Ceo/President
Phone
(951) 541-0615

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 SP12646 CA Primary

Addresses

Primary practice location

41689 Enterprise CR. No.
Suite 118
Temecula, CA 92590

Mailing address

41689 Enterprise CR. No.
Suite 118
Temecula, CA 92590
Phone (951) 541-0615

Other names 1

  • Nichols Speech, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

41689 Enterprise Cir N
Ste 118
Temecula, CA 92590
Phone (951) 541-0615

Practitioners & affiliated clinicians

Practitioners 11

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": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1093034779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CR. NO.",
            "address_2": "SUITE 118",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-541-0615",
            "fax_number": "951-296-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CR. NO.",
            "address_2": "SUITE 118",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-541-0615",
            "fax_number": "951-296-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS SPEECH PATHOLOGY AND THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER, CEO/PRESIDENT",
        "authorized_official_telephone_number": "951-541-0615",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nichols Speech, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.