Michele Sherie Serrano, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17150 Issued in CA

Practice address

1440 Columbia St Apt 2001
San Diego, CA 92101-3483

Phone

(415) 866-8260

Fax

(844) 946-2985

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theralingual Speech Pathology Inc

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1881150027
  NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1215069117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W BROADWAY",
            "address_2": "STE A540",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "858-247-1785",
            "fax_number": "844-946-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 COLUMBIA ST APT 2001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013483",
            "telephone_number": "415-866-8260",
            "fax_number": "844-946-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 S 1st St",
            "address_2": "Apt 141",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787048898",
            "country_code": "US",
            "telephone_number": "415-606-2907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W Broadway",
            "address_2": "Ste A540",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92101",
            "country_code": "US",
            "telephone_number": "858-247-1785",
            "fax_number": "844-946-2985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Van Ness Ave",
            "address_2": "Ste 1006",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94102",
            "country_code": "US",
            "telephone_number": "415-866-8260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "MICHELE",
        "middle_name": "SHERIE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DORA",
            "identifier": "3108",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY BOARD",
            "identifier": "SP 17150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPT OF LICENSING AND REGULATION",
            "identifier": "117335",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH & HEARING ASSOCIATION",
            "identifier": "12082520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Serrano
• Julissa Serrano
• Karely Serrano
• Maria Serrano
• Marialuz Serrano
• Miguel A Serrano, MD
• Monica Alejandra Serrano, IMF
• Renalyn Mae Lenon Serrano, ASW
• Ruth S Serrano
• Paulina Serrato Padilla

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, 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 Dec 8, 2020; 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.