Active NPI
Sunset Bay Speech Therapy Services
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1124395504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SUNSET BAY SPEECH THERAPY SERVICES
- Practice address
- 10039 Bissonnet St Ste 112
Houston, TX 77036-7838 - Phone
- (713) 777-1944
- Fax
- (713) 777-1924
- NPI assigned
- Nov 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cherry Thomas
- Title
- Secretary
- Phone
- (281) 881-0448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
10039 Bissonnet St Ste 112
Houston, TX 77036-7838
Mailing address
13419 Sunset Bay LN
Pearland, TX 77584-2174
Phone (281) 881-0448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215130001 | Medicaid | TX |
Other names 1
- FAITH JOHNSON
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1124395504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13419 SUNSET BAY LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842174",
"telephone_number": "281-881-0448",
"fax_number": "713-340-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10039 BISSONNET ST STE 112",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367838",
"telephone_number": "713-777-1944",
"fax_number": "713-777-1924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET BAY SPEECH THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "CHERRY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "281-881-0448",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215130001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAITH JOHNSON",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.