Organization Active NPI

Sunset Bay Speech Therapy Services

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1124395504
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Nov 29, 2011

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
215130001MedicaidTX

Other names 1

  • FAITH JOHNSON Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.