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
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.