Patricia Johanna Mohan, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22398 Issued in CA

Practice address

3685 Fairview Dr
Vista, CA 92084-1023

Phone

(714) 585-9159

NPI assigned

Jan 24, 2020

Last updated

Jan 24, 2020By 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 1

Addresses

Other names 1

• Mrs. Patti Johanna Mohan Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1508496944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 FAIRVIEW DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920841023",
            "telephone_number": "714-585-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 FAIRVIEW DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920841023",
            "telephone_number": "714-585-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "PATRICIA",
        "middle_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.mohan@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "address_1": "3685 Fairview Dr",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920841023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.mohan@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Vista",
            "address_1": "3685 Fairview Dr",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920841023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATTI",
            "last_name": "MOHAN",
            "middle_name": "JOHANNA",
            "prefix": "MRS.",
            "credential": "CCC-SLP, M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Speech-Language Pathologist in Vista, CA
• Providers in Vista, 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 Jan 24, 2020; 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.