Studio a SLP, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

C3704372 Issued in CA

Legal business name

STUDIO A SLP, INC

Practice address

2443 Fair Oaks Blvd #543
Sacramento, CA 95825

Phone

(916) 399-3926

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Alissa McFall, CCC-SLP

Title

Ceo

Phone

(916) 399-3926

Specialties & licenses 1

Addresses

Other names 1

• Stupid A Pediatrics Inc Former legal business name

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1275937732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FAIR OAKS BLVD #543",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-399-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 FAIR OAKS BLVD #543",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-399-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO A SLP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MCFALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ALISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-399-3926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "C3704372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stupid A Pediatrics Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Stupid A Pediatrics Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathleen Stucker
• Grace Hayes Stuckey, LCSW
• Karen Ann Stuckey, C14481214
• Nathan Stuckey
• Student Sports Association Sacramento
• Studley Chiropractic Inc.
• Chip Christopher Studley, D.C.
• Merrett A Stufflebeem, LMFT
• Annica Stull-Lane
• Melissa Stull

• Early Intervention Provider Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.