Sandra Jean McDade, PT MPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

80 Eureka SQ Ste 217
Pacifica, CA 94044-2678

Phone

(650) 557-0885

NPI assigned

Aug 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1255647632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EUREKA SQ STE 217",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442678",
            "telephone_number": "650-557-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EUREKA SQ STE 217",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442678",
            "telephone_number": "650-557-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDADE",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "PT MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5864",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT5864",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Michael Matthews, PT
• Stephanie May, BA, LMT, CPT
• Mayhem Unity Limited Liabilty Company
• Charlotte McCall, LCSW
• Bryan P McDade
• Marvin George McLarty III, REG. RECOVERY WORKER
• Phyllis Melvin, R.N.,N.P.
• Eric Metzgar, AMFT
• Robin Middough, MS, LMFT
• Batya Miller, MSW

• Speech-Language Assistant in Pacifica, CA
• Providers in Pacifica, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.