Cheryl Grace Suba Directo, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

25771 Issued in CA

Practice address

630 S Indian Hill Blvd Ste 5
Claremont, CA 91711-5461

Phone

(909) 451-8521

NPI assigned

Mar 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1154078186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DEERFOOT DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S INDIAN HILL BLVD STE 5",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115461",
            "telephone_number": "909-451-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRECTO",
        "first_name": "CHERYL GRACE",
        "middle_name": "SUBA",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://wholechildtherapy.net/",
            "affiliation": "N",
            "address_1": "630 S Indian Hill Blvd Ste 5",
            "city": "Claremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917115461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Skyler Edward Gerard Di Ioli
• Chaye' A Dialo, PSYD
• Anthony Diaz
• Kyla Dickerson Santana, OTR
• Direct Therapy
• John Dissinger IV
• Timothy Cage Domiccio
• Marianne Donadee, LMFT
• Rebecca Renae Donaldson
• Lorena Arguello Dowlatshahi

• Speech-Language Pathologist in Claremont, CA
• Providers in Claremont, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.