Phillips Speech Therapy Corp

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PHILLIPS SPEECH THERAPY CORP

Practice address

439 N El Camino Real Ste D
San Clemente, CA 92672-4700

Phone

(909) 747-4298

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Riley Phillips, MS, CCC-SLPNPI 1891313839

Title

Lead Speech Therapist

Phone

(909) 747-4298

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SLP Riley Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Riley Makenna Phillips, CF-SLP

  • Speech-Language Pathologist
  • San Clemente, CA
  • NPI 1891313839
  NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1659003804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24551 DEL PRADO UNIT 4154",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926296302",
            "telephone_number": "909-747-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 N EL CAMINO REAL STE D",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724700",
            "telephone_number": "909-747-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS SPEECH THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "LEAD SPEECH THERAPIST",
        "authorized_official_telephone_number": "909-747-4298",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891313839",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://slpriley.com/",
            "affiliation": "N",
            "endpointDescription": "Patients and other health care professionals can access information using an online, HIPAA compliant client portal that is linked to the company website using Advanced MD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "439 N El Camino Real Ste D",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926724700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SLP Riley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dusanka Petkovic, DDS
• Lauren E. Peyton
• Lianne Nahina Pfister, M.A., CCC-SLP
• Jessica Marie Pflibsen
• Magaly Arlen Phakousonh
• Deborah Phillips
• Melissa Renee Phillips, M.A., CCC-SLP
• Richard Steven Phillips, DDS
• Riley Makenna Phillips, CF-SLP
• PHS San Clemente, Inc.

• Speech-Language Pathologist in San Clemente, CA
• Providers in San Clemente, 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 27, 2022; 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.