Organization Active NPI

Yeckley Speech

  • Community/Behavioral Health Agency
  • Colton, CA
National Provider Identifier
1457892713
Registry record updated Mar 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SP7217 Issued in CA
Legal business name
YECKLEY SPEECH
Practice address
1170 N 2ND St
Colton, CA 92324-1760
Phone
(909) 938-2251
NPI assigned
Mar 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2017

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

Authorized official

Name
Rebecca King Yeckley
Title
Speech Language Pathologist
Phone
(909) 938-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SP7217 CA Primary

Addresses

Primary practice location

1170 N 2ND St
Colton, CA 92324-1760

Mailing address

1170 N 2ND St
Colton, CA 92324-1760

Other identifiers 1

IdentifierTypeStateIssuer
SP7217OtherCASPEECH LANGUAGE PATHOLIGIST LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489881600000",
    "number": "1457892713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 N 2ND ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 N 2ND ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241760",
            "telephone_number": "909-938-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YECKLEY SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-19",
        "last_updated": "2017-03-19",
        "status": "A",
        "authorized_official_last_name": "YECKLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "909-938-2251"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "SP7217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLIGIST LICENSE",
            "identifier": "SP7217",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2017; 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.