Organization Active NPI

Speakeasy Therapy Center Inc.

  • Speech-Language Pathologist
  • Westminster, CA
National Provider Identifier
1245710094
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP22109 Issued in CA
Legal business name
SPEAKEASY THERAPY CENTER INC.
Practice address
15432 Brookhurst St
Westminster, CA 92683-7057
Phone
(714) 200-5498
NPI assigned
Aug 20, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Mr. John Vuong Nguyen, MS., CCC-SLPNPI 1114378825
Title
Executive Director, Owner
Phone
(714) 800-9845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP22109 CA Primary

Addresses

Primary practice location

15432 Brookhurst St
Westminster, CA 92683-7057

Mailing address

15432 Brookhurst St
Westminster, CA 92683-7057
Phone (714) 200-5498

National Provider Directory

National Provider Directory

Locations

15432 Brookhurst St
Westminster, CA 92683
Phone (657) 200-5498

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1245710094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15432 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837057",
            "telephone_number": "714-200-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15432 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837057",
            "telephone_number": "714-200-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKEASY THERAPY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VUONG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, OWNER",
        "authorized_official_telephone_number": "714-800-9845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP22109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.