Organization Active NPI

Authenticity Speech and Language Therapy, Inc.

  • Hearing and Speech Clinic/Center
  • San Diego, CA
National Provider Identifier
1134820525
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
AUTHENTICITY SPEECH AND LANGUAGE THERAPY, INC.
Practice address
4452 37TH St Apt 5
San Diego, CA 92116-4663
Phone
(908) 672-6699
NPI assigned
Mar 13, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dara L Bassin, MS, CCC-SLPNPI 1932800604
Title
Ceo
Phone
(908) 672-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

4452 37TH St Apt 5
San Diego, CA 92116-4663

Mailing address

4452 37TH St Apt 5
San Diego, CA 92116-4663
Phone (908) 672-6699

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2023.

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1134820525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 37TH ST APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164663",
            "telephone_number": "908-672-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 37TH ST APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164663",
            "telephone_number": "908-672-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTICITY SPEECH AND LANGUAGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "BASSIN",
        "authorized_official_first_name": "DARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-672-6699",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.