Jonelle Efthymia Agelopoulos, MS, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4282 Genesee Ave Ste 102
San Diego, CA 92117-4986

Phone

(858) 737-4455

NPI assigned

Apr 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Speech Therapy Inc

  • Hearing and Speech Clinic/Center
  • Chico, CA
  • NPI 1164166963
  Medicare reassignment NPD

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1104671684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 COWLEY WAY APT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176524",
            "telephone_number": "650-515-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 GENESEE AVE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174986",
            "telephone_number": "858-737-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGELOPOULOS",
        "first_name": "JONELLE",
        "middle_name": "EFTHYMIA",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathrina Agatep, DDS
• Jonathan Agazaryan
• William Ayikwei Agbo, PHARM.D.
• Carmel Agdeppa, DACM, L.AC
• Alexander Mark Agelidis
• Obiajulu Charles Agha
• Zia Agha, MD
• Andre Alex Aghekian, P.T.A.
• Azadeh Aghel, MD
• Shadee Aghel, MD

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.