Organization Active NPI

Pawsitive Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Tustin, CA
National Provider Identifier
1164104774
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PAWSITIVE SPEECH THERAPY, INC.
Practice address
17601 17TH St Ste 215
Tustin, CA 92780-1946
Phone
(714) 873-8947
NPI assigned
Aug 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mrs. Jennifer Nance Yost, M.S., CCC-SLPNPI 1376831891
Title
President
Phone
(714) 873-8947

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

17601 17TH St Ste 215
Tustin, CA 92780-1946

Mailing address

13022 Ethelbee Way
Santa Ana, CA 92705-1806
Phone (760) 567-2802

National Provider Directory

National Provider Directory

Locations

17601 17th St
Ste 215
Tustin, CA 92780
Phone (714) 873-8947

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1164104774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13022 ETHELBEE WAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051806",
            "telephone_number": "760-567-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 17TH ST STE 215",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801946",
            "telephone_number": "714-873-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWSITIVE SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "NANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-873-8947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.