Active NPI
Celebrated Minds Speech Therapy Co
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1194512111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CELEBRATED MINDS SPEECH THERAPY CO
- Practice address
- 4302 Collwood LN
San Diego, CA 92115-2010 - Phone
- (619) 820-9656
- NPI assigned
- Apr 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kate Boeh, MA-SLP
- Title
- Speech Language Pathologist, Owner
- Phone
- (619) 820-9656
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
4302 Collwood LN
San Diego, CA 92115-2010
Mailing address
PO Box 15025
San Diego, CA 92175-5025
Phone (619) 820-9656
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- San Diego, CA
- NPI 1699506378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745366400000",
"number": "1194512111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15025",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921755025",
"telephone_number": "619-820-9656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 COLLWOOD LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921152010",
"telephone_number": "619-820-9656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CELEBRATED MINDS SPEECH THERAPY CO",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A",
"authorized_official_last_name": "BOEH",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST, OWNER",
"authorized_official_telephone_number": "619-820-9656",
"authorized_official_credential": "MA-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 San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.