Organization Active NPI

Therapeutic Language Clinic. Inc.

  • Specialist
  • Fair Oaks, CA
National Provider Identifier
1154875912
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
GNB32016-02245 Issued in CA
Legal business name
THERAPEUTIC LANGUAGE CLINIC. INC.
Practice address
9813 Fair Oaks Blvd Ste B
Fair Oaks, CA 95628-7012
Phone
(916) 541-8239
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Mrs. Emily Smith, M.S.
Title
Speech Pathologist
Phone
(916) 541-8239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X GNB32016-02245 CA Primary

Addresses

Primary practice location

9813 Fair Oaks Blvd Ste B
Fair Oaks, CA 95628-7012

Mailing address

10349 Daniel Way
Rancho Cordova, CA 95670-2004
Phone (916) 541-8239

National Provider Directory

National Provider Directory

Locations

9813 Fair Oaks Blvd
Ste B
Fair Oaks, CA 95628
Phone (916) 541-8239

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1154875912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10349 DANIEL WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702004",
            "telephone_number": "916-541-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9813 FAIR OAKS BLVD STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287012",
            "telephone_number": "916-541-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC LANGUAGE CLINIC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "916-541-8239",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "GNB32016-02245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.