Multimodal Communication Speech Clinic P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MULTIMODAL COMMUNICATION SPEECH CLINIC P.C.

Practice address

18430 Brookhurst St Ste 201H
Fountain Valley, CA 92708-6757

Phone

(562) 373-8874

NPI assigned

Oct 7, 2022

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Destiny Brook JohnsonNPI 1932721248

Title

Speech Language Pathologist

Phone

(562) 373-8874

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Destiny B Johnson

  • Speech-Language Pathologist
  • Fountain Valley, CA
  • NPI 1932721248
  NPD Authorized official
• Avery Foley

  • Speech-Language Assistant
  • Fountain Valley, CA
  • NPI 1497336895
  NPD

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1376268847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 201H",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086757",
            "telephone_number": "562-373-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 201H",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086757",
            "telephone_number": "562-373-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIMODAL COMMUNICATION SPEECH CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "562-373-8874"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Fountain Valley, CA
• Providers in Fountain Valley, 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 16, 2024; 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.