Tamalpais Speech and Feeding Therapy, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TAMALPAIS SPEECH AND FEEDING THERAPY, INC

Practice address

1321 S Eliseo Dr
Greenbrae, CA 94904-2024

Phone

(415) 766-7405

NPI assigned

Mar 12, 2019

Last updated

Sep 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Ann-Davis Kellar, M.S., CCC-SLPNPI 1962810622

Title

Owner

Phone

(415) 766-7405

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.

• Victoria Ann-Davis Kellar

  • Speech-Language Pathologist
  • Greenbrae, CA
  • NPI 1962810622
  NPD Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1225596943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042024",
            "telephone_number": "415-766-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042024",
            "telephone_number": "415-766-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMALPAIS SPEECH AND FEEDING THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "KELLAR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN-DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-766-7405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Swanson, M.A., LMFT
• Lou Ann Sweaney, FNP-C
• Oksana Sytova, N.P.
• Patricia Jean Szerlip, R.N.
• Azita Taghavy, M.D.
• Cheryl Ann Tanasovich, M.D.
• David Fonseca Tapia, ATC, EMT
• Blake E. S. Taylor, MD
• Cornelliss Taylor, MSW, ACSW
• Robert Daniel Teasdale Jr., M.D.

• Speech-Language Pathologist in Greenbrae, CA
• Providers in Greenbrae, 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 Sep 29, 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.