San Francisco Speech-Language Pathology, Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

SP20591

Legal business name

SAN FRANCISCO SPEECH-LANGUAGE PATHOLOGY, INC

Practice address

3401 Mission St
San Francisco, CA 94110-5419

Phone

(415) 496-6757

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Bailey Venkatraman Levis, CCC-SLPNPI 1467793232

Title

President / Owner

Phone

(415) 496-6757

Specialties & licenses 1

Addresses

Other names 1

• San Francisco Speech and Fluency Center Doing business as

Practitioners 1

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

• Bailey Venkatraman Levis, MS, SLP

  • Speech-Language Pathologist
  • San Francisco, CA
  • NPI 1467793232
  NPD Authorized official

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1609237882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318003",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941318003",
            "telephone_number": "415-496-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105419",
            "telephone_number": "415-496-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO SPEECH-LANGUAGE PATHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "LEVIS",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_middle_name": "VENKATRAMAN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "415-496-6757",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": "SP20591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco Speech and Fluency Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hearing and Speech Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.