Taylor Made Speech Pathology Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TAYLOR MADE SPEECH PATHOLOGY SERVICES

Practice address

1234 Empire St Ste 1450
Fairfield, CA 94533-5711

Phone

(707) 759-3716

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Monique WilliamsNPI 1417361213

Title

Speech Language Pathologist

Phone

(510) 253-5654

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monique Williams

  • Speech-Language Pathologist
  • Fairfield, CA
  • NPI 1417361213
  NPD Authorized official

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1215557541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 LONGRIDGE DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 EMPIRE ST STE 1450",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335711",
            "telephone_number": "707-759-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE SPEECH PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "510-253-5654"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Ian Tarter, MD
• Ikea Tarven
• Monique Latanya Tarver, AMFT
• Tavallaei, D.M.D., Corporation
• Sabrina Michelle Tavares
• Angelica Marie Taylor
• Aries Taylor
• Ebony Sumae Taylor
• Kimberly Joi Taylor
• Michael Lee Taylor

• Speech-Language Pathologist in Fairfield, CA
• Providers in Fairfield, 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 Apr 16, 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.