Tidespeak Language & Speech Therapy Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

TIDESPEAK LANGUAGE & SPEECH THERAPY INC

Practice address

2808 Villas Way
San Diego, CA 92108-6732

Phone

(619) 289-7782

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Christa Totty Sisson, MCD, CCC-SLPNPI 1720518822

Title

Speech-Language Pathologist/Owner

Phone

(619) 289-7782

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christa Totty Sisson, MCD, CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1720518822
  NPD Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1255914933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 VILLAS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086732",
            "telephone_number": "619-289-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 VILLAS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086732",
            "telephone_number": "619-289-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDESPEAK LANGUAGE & SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "SISSON",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "TOTTY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "619-289-7782",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Tichacek, RN, PMHNP-BC, PMHCNS
• Joseph R Tichonchuk, RN
• Samantha Tichonchuk, AU.D.
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• George Francis Tidmarsh, M.D.
• Sarina Renae Tidwell
• Alexandria Nikole Tiedtke
• Katie Tiemeyer, M.A. CCC-SLP
• Tien Phan Psychologist, PC

• Hearing and Speech Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.