Progress Speech & Language Pathology Center, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP12464 Issued in CA

Legal business name

PROGRESS SPEECH & LANGUAGE PATHOLOGY CENTER, INC.

Doing business as

Progress Speech & Language Center

Practice address

217 W Cerritos Ave
Anaheim, CA 92805-6549

Phone

(714) 776-1231

Fax

(714) 776-0802

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Peter Jeong

Title

Office Manager

Phone

(714) 542-1234

Specialties & licenses 3

Addresses

Other names 1

• Progress Speech & Language Center Doing business as

Locations

Practitioners 2

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

• Rosa Elvia Resendiz

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1952794844
  NPD (past)
• Kadie Belen Velazquez, SLPA

  • Speech-Language Assistant
  • Santa Ana, CA
  • NPI 1306182449
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1467764316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N BROADWAY STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062622",
            "telephone_number": "714-776-1231",
            "fax_number": "714-776-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W CERRITOS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056549",
            "telephone_number": "714-776-1231",
            "fax_number": "714-776-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS SPEECH & LANGUAGE PATHOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-542-1234"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 40121",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 14047",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progress Speech & Language Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Anaheim, CA
• Providers in Anaheim, 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 Nov 7, 2014; 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.