NPIMap

Organization Active NPI

Radiant Speech Therapy, Inc.

Doing business as Radiant Kids Therapy

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1275010548
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
RADIANT SPEECH THERAPY, INC.
Doing business as
Radiant Kids Therapy
Practice address
13223 Black Mountain Rd # 1508
San Diego, CA 92129-2698
Phone
(858) 753-5082
NPI assigned
Jul 19, 2018
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Laura Agyeman, M.S., CCC-SLPNPI 1902383995
Title
Ceo
Phone
(858) 753-5082

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

13223 Black Mountain Rd # 1508
San Diego, CA 92129-2698

Mailing address

13223 Black Mountain Rd # 1508
San Diego, CA 92129-2698
Phone (858) 753-5082

Other names 1

  • Radiant Kids Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

13223 Black Mountain Rd
#1358
San Diego, CA 92129
Phone (858) 603-7627

13223 Black Mountain Rd
#1508
San Diego, CA 92129
Phone (858) 753-5082

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1275010548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13223 BLACK MOUNTAIN RD # 1508",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292698",
            "telephone_number": "858-753-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13223 BLACK MOUNTAIN RD # 1508",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292698",
            "telephone_number": "858-753-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "AGYEMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-753-5082",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.