Active NPI
Anita L Maloney, MSCCC SLP, RYT
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1356429336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16480
- Practice address
- 9606 Tierra Grande St
San Diego, CA 92126-6501 - Phone
- (858) 695-9415
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP00309 | RI | |
| Speech-Language Pathologist | 235Z00000X | 16480 | CA | Primary |
Addresses
Primary practice location
9606 Tierra Grande St
San Diego, CA 92126-6501
Mailing address
3859 Sherbourne Dr Apt H
Oceanside, CA 92056-3343
Phone (760) 864-4641
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP00309 | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirsch Therapy Speech Clinic, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Physical Therapist
- San Diego, CA
- NPI 1598724577
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Oceanside, CA
- NPI 1003035569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1356429336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3859 SHERBOURNE DR APT H",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563343",
"telephone_number": "760-864-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9606 TIERRA GRANDE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921266501",
"telephone_number": "858-695-9415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "ANITA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSCCC SLP, RYT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00309",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "16480",
"primary": true
}
],
"identifiers": [],
"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 Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.