Organization Active NPI

Logopedia Speech & Language Therapy, Inc.

  • Speech-Language Pathologist
  • San Francisco, CA
National Provider Identifier
1235691775
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LOGOPEDIA SPEECH & LANGUAGE THERAPY, INC.
Practice address
4156 24TH St
San Francisco, CA 94114-3615
Phone
(415) 226-7049
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Maribel Serrano Holder, M.S., CCC-SLP
Title
Speech Language Pathologist / Owner
Phone
(415) 226-7049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4156 24TH St
San Francisco, CA 94114-3615

Mailing address

4156 24TH St
San Francisco, CA 94114-3615
Phone (415) 226-7049

National Provider Directory

National Provider Directory

Locations

4156 24th St
San Francisco, CA 94114
Phone (415) 226-7049

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1235691775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143615",
            "telephone_number": "415-226-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143615",
            "telephone_number": "415-226-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOPEDIA SPEECH & LANGUAGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "SERRANO HOLDER",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST / OWNER",
        "authorized_official_telephone_number": "415-226-7049",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.