The Proaactive SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE PROAACTIVE SLP

Practice address

140 Mayhew Way Ste 700
Pleasant Hill, CA 94523-4375

Phone

(925) 586-2994

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Carrie Balick, CCC-SLPNPI 1063888485

Title

Ceo/Owner, Speech Lang. Pathologist

Phone

(925) 586-2994

Specialties & licenses 1

Addresses

Other names 1

• The ProAACtive SLP Doing business as

Locations

Practitioners 3

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

• Carrie Balick, M.S. CCC - SLP

  • Speech-Language Pathologist
  • Pleasant Hill, CA
  • NPI 1063888485
  NPD Authorized official
• Suzanne Marie Lin, MS

  • Speech-Language Pathologist
  • Union City, CA
  • NPI 1255142824
  NPD
• Isabelle Gwen Puckett

  • Speech-Language Pathologist
  • Pleasant Hill, CA
  • NPI 1952230708
  NPD (past)

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1578315420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 EAST ST # 685",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202126",
            "telephone_number": "925-586-2994",
            "fax_number": "925-420-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAYHEW WAY STE 700",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234375",
            "telephone_number": "925-586-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROAACTIVE SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BALICK",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CEO/OWNER, SPEECH LANG. PATHOLOGIST",
        "authorized_official_telephone_number": "925-586-2994",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The ProAACtive SLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle N Taymuree, PHARMD
• Vicky Alice Tejada, LCSW
• Telecare Corporation
• Isabella Susanne Terry, OD
• The New Life Group
• Baise Thomas
• Dylan Robert Thomas, DMHW
• Amber Thornhill
• Thrifty Payless Inc
• Kenneth W Tittle, DDS

• Speech-Language Pathologist in Pleasant Hill, CA
• Providers in Pleasant Hill, 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 Apr 3, 2024; 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.