Organization Active NPI

Jodie K. Schuller & Associates

  • Speech-Language Pathologist
  • Del Mar, CA
National Provider Identifier
1386839645
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 6437 Issued in CA
Legal business name
JODIE K. SCHULLER & ASSOCIATES
Practice address
2002 Jimmy Durante Blvd Ste 304
Del Mar, CA 92014-2258
Phone
(858) 509-1131
Fax
(858) 509-1151
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Jodie K Schuller, M.A., CCC, O.M.
Title
Oral Facial Myologist, Owner
Phone
(858) 509-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP 6437 CA Primary

Addresses

Primary practice location

2002 Jimmy Durante Blvd Ste 304
Del Mar, CA 92014-2258

Mailing address

2002 Jimmy Durante Blvd Ste 304
Del Mar, CA 92014-2258
Phone (858) 509-1131

National Provider Directory

National Provider Directory

Locations

2002 Jimmy Durante Blvd
Ste 304
Del Mar, CA 92014
Phone (858) 509-1131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1386839645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 JIMMY DURANTE BLVD STE 304",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142258",
            "telephone_number": "858-509-1131",
            "fax_number": "858-509-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 JIMMY DURANTE BLVD STE 304",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142258",
            "telephone_number": "858-509-1131",
            "fax_number": "858-509-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODIE K. SCHULLER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "SCHULLER",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ORAL FACIAL MYOLOGIST, OWNER",
        "authorized_official_telephone_number": "858-509-1131",
        "authorized_official_credential": "M.A., CCC, O.M."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 6437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.