Elizabeth Kay Dinman, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP16655 Issued in CA

Practice address

760 Polhemus Rd
San Mateo, CA 94402-3938

Phone

(650) 349-8717

Fax

(650) 349-0350

NPI assigned

Jun 6, 2011

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)

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.

• Peninsula Associates Speech Therapy Services, Inc.

  • Speech-Language Pathologist
  • Menlo Park, CA
  • NPI 1942770417
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1275827388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 POLHEMUS RD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023938",
            "telephone_number": "650-349-8717",
            "fax_number": "650-349-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 POLHEMUS RD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023938",
            "telephone_number": "650-349-8717",
            "fax_number": "650-349-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINMAN",
        "first_name": "ELIZABETH",
        "middle_name": "KAY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP16655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Ilanders Dillard, ACSW, MSW
• Valerie Diluggo, M.A.
• Ellen Dimas
• Dina Sverdlov MD a Professional Corporation
• Mary M Dini, D.D.S.
• Juleanne Clarice Regalario Dino, OD
• Christopher Roy Stephen Dirks, LMFT
• Suzanne Marie Dito, LMFT
• Elyse G Dixon
• Mark Dizon, CAMTC 89825

• Speech-Language Pathologist in San Mateo, CA
• Providers in San Mateo, 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 Jun 6, 2011; 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.