Judith Wassermann, M.S. CC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8760 Issued in CA

Practice address

11100 Coloma Rd
Rancho Cordova, CA 95670-2804

Phone

(916) 361-7290

Fax

(916) 361-8613

NPI assigned

Jan 6, 2016

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

Other names 1

• Jody Lynn Mielcasz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Children'S Choice for Hearing and Talking Sacramento

  • Audiologist
  • Rancho Cordova, CA
  • NPI 1689055337

  Speech-Language Pathologist

  NPD (past)
• Foundation for Hearing Research

  • Local Education Agency (LEA)
  • Rancho Cordova, CA
  • NPI 1013242189

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1285090290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 COLOMA RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702804",
            "telephone_number": "916-361-7290",
            "fax_number": "916-361-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 COLOMA RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702804",
            "telephone_number": "916-361-7290",
            "fax_number": "916-361-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMANN",
        "first_name": "JUDITH",
        "credential": "M.S. CC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "MIELCASZ",
            "middle_name": "LYNN",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Walter
• William Henry Walter, RPH
• Sydney Jo Walters
• Albert C Wang, RPH
• Franke Warouw
• Kirsten Watts, P.T.
• We Care Medical Center Inc
• Isaac Raymond Weadon
• Scott J Weathers
• Jennifer Lynn Wellenstein

• Speech-Language Pathologist in Rancho Cordova, CA
• Providers in Rancho Cordova, 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 Jan 6, 2016; 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.