NPIMap

Organization Active NPI

Innovative Therapy Services-Pediatric Speech & Language Therapy Servic

  • Speech-Language Pathologist
  • Santa Clara, CA
National Provider Identifier
1619292539
Registry record updated Apr 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10585 Issued in CA
Legal business name
INNOVATIVE THERAPY SERVICES-PEDIATRIC SPEECH & LANGUAGE THERAPY SERVIC
Practice address
1090 Homestead Rd
Santa Clara, CA 95050-5402
Phone
(408) 241-2229
Fax
(408) 241-2229
NPI assigned
Apr 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2010

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

Authorized official

Name
Mrs. Uduak Osom, CCC-SLPNPI 1437474350
Title
President/Owner
Phone
(408) 241-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP10585 CA Primary

Addresses

Primary practice location

1090 Homestead Rd
Santa Clara, CA 95050-5402

Mailing address

1090 Homestead Rd
Santa Clara, CA 95050-5402
Phone (408) 241-2229

National Provider Directory

National Provider Directory

Locations

1090 Homestead Rd
Santa Clara, CA 95050
Phone (408) 241-2229

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270252800000",
    "number": "1619292539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 HOMESTEAD RD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505402",
            "telephone_number": "408-241-2229",
            "fax_number": "408-241-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 HOMESTEAD RD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505402",
            "telephone_number": "408-241-2229",
            "fax_number": "408-241-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SERVICES-PEDIATRIC SPEECH & LANGUAGE THERAPY SERVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A",
        "authorized_official_last_name": "OSOM",
        "authorized_official_first_name": "UDUAK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "408-241-2229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.