Organization Active NPI

Diverse Voices Therapy Corporation

  • Speech-Language Pathologist
  • San Leandro, CA
National Provider Identifier
1104624493
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DIVERSE VOICES THERAPY CORPORATION
Doing business as
Diverse Voices Therapy
Practice address
1211 Drake Ave
San Leandro, CA 94579-1156
Phone
(248) 275-3295
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Shana Engram-Kitchin, MS. CCC-SLPNPI 1518455682
Title
Founder/Ceo
Phone
(248) 275-3295

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: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1211 Drake Ave
San Leandro, CA 94579-1156

Mailing address

1211 Drake Ave
San Leandro, CA 94579-1156
Phone (248) 275-3295

Other names 1

  • Diverse Voices Therapy Doing business as

National Provider Directory

National Provider Directory

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1104624493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 DRAKE AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791156",
            "telephone_number": "248-275-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 DRAKE AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791156",
            "telephone_number": "248-275-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE VOICES THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "ENGRAM-KITCHIN",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "248-275-3295",
        "authorized_official_credential": "MS. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diverse Voices Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.