Matthew Guggemos, M.S. CCC-SLP/ACAS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17414 Issued in CA

Practice address

195 Glen Cove Marina Rd E Ste 200
Vallejo, CA 94591-7291

Phone

(707) 656-3688

NPI assigned

Mar 11, 2013

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Itherapy

  • Home Health Agency
  • Martinez, CA
  • NPI 1538529607
  Authorized official Same address or phone
• Itherapy, a Speech Pathology Corporation

  • Speech-Language Pathologist
  • Vallejo, CA
  • NPI 1083215792
  NPD (past) Authorized official

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1225379506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 GLEN COVE MARINA RD E STE 200",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 GLEN COVE MARINA RD E STE 200",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917291",
            "telephone_number": "707-656-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGGEMOS",
        "first_name": "MATTHEW",
        "credential": "M.S. CCC-SLP/ACAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED CERTIFIED AUTISM SPECIALIST",
            "identifier": "ACAS208417",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ITHERAPY, A SPEECH PATHOLOGY CORPORATION",
            "identifier": "1083215792",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Yael Grossman
• Grove, Andersen, Ghiringhelli Physical Therapy a Professional Co (Grove, Andersen, Ghiringhelli Physical Therapy)
• Ann Carter Grove, PT
• Theresa Lynne Grzybowski, M.S. P.T.
• David Gu, MD
• Tammy Ann Guidi, COUNSELOR
• Tessie M Guieb, NP
• Brianna Guizar
• Stephanie A Gulcher
• Alan C. Gulick, MD

• Speech-Language Pathologist in Vallejo, CA
• Providers in Vallejo, 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 Jan 4, 2021; 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.