Andrea Adeboyejo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

120306 Issued in TX

Practice address

3003 Bridgewater Manor LN
Katy, TX 77449-4691

Phone

(832) 552-6204

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Speech and Learning Center LLPGroup PAC ID 6204190259, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Speech and Learning Center, L.L.P.

  • Speech-Language Pathologist
  • Missouri City, TX
  • NPI 1952595266
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1396392825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21630 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 BRIDGEWATER MANOR LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494691",
            "telephone_number": "832-552-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBOYEJO",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@reliantpediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "Laptop, desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21630 Merchants Way",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774492514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Temitope Ade-Onojobi, DHSC, RDN, LDN
• Victoria Adebambo, RBT
• Olumayowa Adedoyin Adebayo
• Abimbola Temitope Adebiyi, FNP-C
• Abiose Omolola Adeboye
• Chioma Adebusoye
• Olufunmilola Adedeji
• Adeel a. Khan, DMD, PLLC
• Sharon Adefarasin
• Adedamola Adefioye

• Speech-Language Pathologist in Katy, TX
• Providers in Katy, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.