Mia Olivia Richkind, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60312462 Issued in WA

Practice address

4672 Gerona Way
Santa Barbara, CA 93110-1384

Phone

(206) 446-1472

NPI assigned

Sep 27, 2012

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Communication Corner

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1093097503
  NPD (past)
• Childrens Communication Corner Inc

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1508829052
  NPD (past)

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1457602674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 GERONA WAY",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101384",
            "telephone_number": "206-446-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4672 GERONA WAY",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101384",
            "telephone_number": "206-446-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHKIND",
        "first_name": "MIA",
        "middle_name": "OLIVIA",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37434",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60312462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio M Richards
• Brant L Richardson, P.A.
• Carina Joel Richardson, RN
• Lauren Elizabeth Richardson
• Michael Anthony Richardson, M.D.
• Mark Richmond, MD
• Josh Richo
• Alyssa Rickert
• Alejandra Rico
• Amy Rideg, LMFT

• Speech-Language Pathologist in Santa Barbara, CA
• Providers in Santa Barbara, 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 Aug 9, 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.