Individual provider Active NPI

Stacey Carla Wechsler, MA CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1538300041
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15941 Issued in CA
Practice address
11770 Bernardo Plaza CT Ste 208
San Diego, CA 92128-2424
Phone
(858) 451-2757
Fax
(858) 451-2790
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15941 CA Primary

Addresses

Primary practice location

11770 Bernardo Plaza CT Ste 208
San Diego, CA 92128-2424

Mailing address

11770 Bernardo Plaza CT Ste 208
San Diego, CA 92128-2424
Phone (858) 451-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Eloise R. Johnston & Associates Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1538300041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA CT STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282424",
            "telephone_number": "858-451-2757",
            "fax_number": "858-451-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA CT STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282424",
            "telephone_number": "858-451-2757",
            "fax_number": "858-451-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECHSLER",
        "first_name": "STACEY",
        "middle_name": "CARLA",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.