Active NPI
Chitra Lakshumanan, M.A., CCC-SLP
- Speech-Language Pathologist
- Pleasanton, CA
National Provider Identifier
1215503172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4637 Chabot Dr Ste 106
Pleasanton, CA 94588-2753 - Phone
- (925) 954-4546
- NPI assigned
- Jun 1, 2021
- Last updated
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
4637 Chabot Dr Ste 106
Pleasanton, CA 94588-2753
Mailing address
3581 Dalton CMN
Fremont, CA 94536-6006
Phone (248) 238-6519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psygenics Inc | Single Specialty | Current | Accepting new patients |
Locations
27085 Gratiot Ave
Ste 101
Roseville, MI 48066
Phone (586) 204-5560
27085 Gratiot Ave
Ste 107
Roseville, MI 48066
Phone (586) 285-5361
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1215503172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3581 DALTON CMN",
"city": "FREMONT",
"state": "CA",
"postal_code": "945366006",
"telephone_number": "248-238-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4637 CHABOT DR STE 106",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882753",
"telephone_number": "925-954-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKSHUMANAN",
"first_name": "CHITRA",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.