NPIMap

Organization Active NPI

Tustin Speech Therapy, Inc

  • Hearing and Speech Clinic/Center
  • Tustin, CA
National Provider Identifier
1235532599
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
TUSTIN SPEECH THERAPY, INC
Doing business as
Tustin Speech Therapy, Inc
Practice address
661 W 1St St Ste E
Tustin, CA 92780-2939
Phone
(714) 838-2853
NPI assigned
Oct 1, 2014
Organization subpart
Yes
Parent organization
TUSTIN SPEECH THERAPY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Kymry Fowler, MS-CCC
Title
President
Phone
(714) 838-2853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

661 W 1St St Ste E
Tustin, CA 92780-2939

Mailing address

661 W 1St St Ste E
Tustin, CA 92780-2939
Phone (714) 838-2853

Other names 1

  • Tustin Speech Therapy, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tustin Speech Therapy Inc4 organizations share this tax ID, including this one
Part of
Tustin Speech Therapy Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1235532599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W 1ST ST STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802939",
            "telephone_number": "714-838-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W 1ST ST STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802939",
            "telephone_number": "714-838-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSTIN SPEECH THERAPY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUSTIN SPEECH THERAPY, INC",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KYMRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-838-2853",
        "authorized_official_credential": "MS-CCC"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Speech Therapy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.