Individual provider Active NPI

Lynn Scarborough Kirsch, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Vista, CA
National Provider Identifier
1619048949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP9882 Issued in CA
Practice address
1070 S Santa Fe Ave
Suite 26-a
Vista, CA 92084-7007
Phone
(760) 277-3465
Fax
(760) 945-6535
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP9882 CA Primary

Addresses

Primary practice location

1070 S Santa Fe Ave
Suite 26-a
Vista, CA 92084-7007

Mailing address

1070 S Santa Fe Ave
Suite 26-a
Vista, CA 92084-7007
Phone (760) 277-3465

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

State licenses

LicenseStateTypeSpecialty
SP9882CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirsch Therapy Speech Clinic, Inc. 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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619048949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 S SANTA FE AVE",
            "address_2": "SUITE 26-A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847007",
            "telephone_number": "760-277-3465",
            "fax_number": "760-945-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 S SANTA FE AVE",
            "address_2": "SUITE 26-A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847007",
            "telephone_number": "760-277-3465",
            "fax_number": "760-945-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "LYNN",
        "middle_name": "SCARBOROUGH",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.