Active NPI
Center for Speech & Language Therapy
- Speech-Language Pathologist
- Los Banos, CA
National Provider Identifier
1558610014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14526
- Legal business name
- CENTER FOR SPEECH & LANGUAGE THERAPY
- Practice address
- 312 W J St
Suite 202
Los Banos, CA 93635-4073 - Phone
- (209) 827-1500
- Fax
- (209) 827-1300
- NPI assigned
- Aug 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shila Russell, M.S., CCC-SLP
- Title
- Owner
- Phone
- (209) 827-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14526 | CA | Primary |
Addresses
Primary practice location
312 W J St
Suite 202
Los Banos, CA 93635-4073
Mailing address
312 W J St
Suite 202
Los Banos, CA 93635-4073
Phone (209) 827-1500
National Provider Directory
National Provider DirectoryLocations
312 W J St
Ste 202
Los Banos, CA 93635
Phone (209) 827-1500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Los Banos, CA
- NPI 1134361777
-
- Speech-Language Pathologist
- Alpharetta, GA
- NPI 1972662401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346284800000",
"number": "1558610014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 W J ST",
"address_2": "SUITE 202",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354073",
"telephone_number": "209-827-1500",
"fax_number": "209-827-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 W J ST",
"address_2": "SUITE 202",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354073",
"telephone_number": "209-827-1500",
"fax_number": "209-827-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR SPEECH & LANGUAGE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "SHILA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-827-1500",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
- Deborah Carter, LMT
- Lovely Castillo Lara
- Karen A Castro, ASW
- Lizbeth Ceja
- Samantha Flores Ceja
- Central Valley Family Healthcare Inc. (Los Banos Family Health Clinic)
- Central Valley Medical Supply
- Central Valley Pro Wash LLC (Interior Exterior Cleaning Pros.)
- Cep America - California (Vituity)
- Heaven Cerda
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.