Active NPI
Lynn Severin, M.S., CCC-SLP
- Speech-Language Pathologist
- Chula Vista, CA
National Provider Identifier
1144516394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP27407
- Practice address
- 2521 Windward Way
Chula Vista, CA 91914-4526 - Phone
- (858) 405-4172
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00570100 | NJ | |
| Speech-Language Pathologist | 235Z00000X | 018112 | NY | |
| Speech-Language Pathologist | 235Z00000X | SP27407 | CA | Primary |
Addresses
Primary practice location
2521 Windward Way
Chula Vista, CA 91914-4526
Mailing address
3939 Illinois St Apt 1C
San Diego, CA 92104-3000
Other practice location 1
116 W 23rd St
Fifth Floor
New York, NY 10011-2599
Phone (646) 375-2390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP27407 | CA | MD | Speech-Language Pathologist |
| 41YS00570100 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1144516394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 ILLINOIS ST APT 1C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921043000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 WINDWARD WAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144526",
"telephone_number": "858-405-4172"
}
],
"practiceLocations": [
{
"address_1": "116 W 23rd St",
"address_2": "Fifth Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100112599",
"country_code": "US",
"telephone_number": "646-375-2390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVERIN",
"first_name": "LYNN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00570100",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018112",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP27407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.