Individual provider Active NPI

Joanne Gerstein Hein, MS, CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1306478912
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CA3397 Issued in CA
Practice address
4858 Mercury St Ste 106
San Diego, CA 92111-2128
Phone
(619) 997-4346
Fax
(858) 560-1034
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X CA3397 CA Primary

Addresses

Primary practice location

4858 Mercury St Ste 106
San Diego, CA 92111-2128

Mailing address

4858 Mercury St Ste 106
San Diego, CA 92111-2128
Phone (619) 997-4346

Other identifiers 2

IdentifierTypeStateIssuer
CA3397OtherCACALIFORNIA SPEECH-LANGUAGE-HEARING ASSOCIATION
ASHA00554444OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CA3397CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1306478912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 MERCURY ST STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112128",
            "telephone_number": "619-997-4346",
            "fax_number": "858-560-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 MERCURY ST STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112128",
            "telephone_number": "619-997-4346",
            "fax_number": "858-560-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIN",
        "first_name": "JOANNE",
        "middle_name": "GERSTEIN",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "CA3397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "CA3397",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "ASHA00554444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 11, 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.