Active NPI
Philip Erle Munsey, SLP
- Speech-Language Pathologist
- Stockton, CA
National Provider Identifier
1609319268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP9429
- Practice address
- 10419 Donner Ave
Stockton, CA 95209-3739 - Phone
- (209) 481-3164
- NPI assigned
- Nov 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP9429 | CA | Primary |
Addresses
Primary practice location
10419 Donner Ave
Stockton, CA 95209-3739
Mailing address
10419 Donner Ave
Stockton, CA 95209-3739
Phone (209) 481-3164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP9429 | Other | CA | CALIFORNIA STATE LISENCE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP9429 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1609319268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10419 DONNER AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952093739",
"telephone_number": "209-481-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10419 DONNER AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952093739",
"telephone_number": "209-481-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSEY",
"first_name": "PHILIP",
"middle_name": "ERLE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP9429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LISENCE NUMBER",
"identifier": "SP9429",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.