Individual provider Active NPI

Leeat Redlich, M.S -SLP

  • Speech-Language Pathologist
  • Fremont, CA
National Provider Identifier
1619754629
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18081 Issued in CA
Practice address
4741 Valpey Park Ave
Fremont, CA 94538-4060
Phone
(510) 552-9162
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 18081 CA Primary

Addresses

Primary practice location

4741 Valpey Park Ave
Fremont, CA 94538-4060

Mailing address

4741 Valpey Park Ave
Fremont, CA 94538-4060

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 Science

State licenses

LicenseStateTypeSpecialty
18081CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Bridges Speech Pathology Inc Speech-Language Pathologist Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Organizations & group practices 2

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1619754629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 VALPEY PARK AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 VALPEY PARK AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384060",
            "telephone_number": "510-552-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLICH",
        "first_name": "LEEAT",
        "credential": "M.S -SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.