Maggie Stake, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2060 Otay Lakes Rd Unit 270
Chula Vista, CA 91913-1364

Phone

(619) 546-0039

NPI assigned

Jan 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speech Tree Speech Therapy Center, Inc.

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1720334501
  NPD (past)
• Speech Tree Therapy Center

  • Speech-Language Pathologist
  • Chula Vista, CA
  • NPI 1477233856
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1245738491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E WING ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046569",
            "telephone_number": "847-226-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 OTAY LAKES RD UNIT 270",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131364",
            "telephone_number": "619-546-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "763 Dean Ave",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600354723",
            "country_code": "US",
            "telephone_number": "224-765-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAKE",
        "first_name": "MAGGIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn M Sta Ines, LVN
• Stability Medical Equipment
• Derek Stache
• Ronald Roy Stacy, 13841-RAC
• Kevin Stahl, PT, DPT
• Kaulauni Stambaugh
• Jelena Stankovic Alic
• Stanmore G Langford III DC a Chiropractic Prof Corporation
• Letitia Antoinette Stanton-Aicher, MS, CCC-SLP
• Thomas E Stark, DO

• Speech-Language Pathologist in Chula Vista, CA
• Providers in Chula Vista, 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 10, 2019; 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.