NPIMap

Organization Active NPI

Central Coast Language and Learning Center

  • Early Intervention Provider Agency
  • Monterey, CA
National Provider Identifier
1356589022
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
SP13025 Issued in CA
Legal business name
CENTRAL COAST LANGUAGE AND LEARNING CENTER
Practice address
787 Munras Ave
Suite a
Monterey, CA 93940-3128
Phone
(831) 645-7900
Fax
(831) 645-7906
NPI assigned
Feb 3, 2009
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Jennifer L D'Attilio, MS, CCC-SLPNPI 1376963611
Title
Director, Speech and Language
Phone
(831) 645-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X SP13025 CA Primary

Addresses

Primary practice location

787 Munras Ave
Suite a
Monterey, CA 93940-3128

Mailing address

787 Munras Ave
Suite a
Monterey, CA 93940
Phone (831) 645-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160915000574 CA Part B Supplier - Clinic/Group Practice 4183910284 Receives reassigned benefits from 15 practitioners
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

24600 Silver Cloud Ct
Ste 104
Monterey, CA 93940
Phone (831) 645-7900

787 Munras Ave
Ste A
Monterey, CA 93940
Phone (831) 642-9400

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1356589022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 MUNRAS AVE",
            "address_2": "SUITE A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-645-7900",
            "fax_number": "831-645-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 MUNRAS AVE",
            "address_2": "SUITE A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403128",
            "telephone_number": "831-645-7900",
            "fax_number": "831-645-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST LANGUAGE AND LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "D'ATTILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, SPEECH AND LANGUAGE",
        "authorized_official_telephone_number": "831-645-7900",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "SP13025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.