Berry Speech and Language Pathology, Professional Corporation

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BERRY SPEECH AND LANGUAGE PATHOLOGY, PROFESSIONAL CORPORATION

Practice address

4455 Campus Ave
San Diego, CA 92116-3905

Phone

(619) 468-4609

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Carolyn Blake Berry, MS, CCC-SLPNPI 1427464940

Title

Owner

Phone

(619) 468-4609

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carolyn Berry

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1427464940
  NPD Authorized official

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1629637186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 CAMPUS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163905",
            "telephone_number": "619-468-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 CAMPUS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163905",
            "telephone_number": "619-468-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY SPEECH AND LANGUAGE PATHOLOGY, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-468-4609",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analesha Yecebeth Berrios
• Catherine Berrios
• Susana Elena Berrios, MD
• Agustina Berrocal, MA
• Gabriela Berruecos
• Amanda Rose Wilkinson Berry
• Angela Tran Berry, PHARMD
• Barbara Berry, M.D.
• Brandon M Berry, IDC
• Carolyn Berry

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.