Organization Active NPI

I Heart Speech Therapy

  • Speech-Language Pathologist
  • San Leandro, CA
National Provider Identifier
1659747509
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20328 Issued in CA
Legal business name
I HEART SPEECH THERAPY
Practice address
400 Estudillo Ave Ste 206
San Leandro, CA 94577-4900
Phone
(404) 839-0420
Fax
(510) 842-1502
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Cherina Letice Williams, M.ED, CCC-SLP
Title
Owner/Speech Pathologist
Phone
(404) 839-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 20328 CA Primary

Addresses

Primary practice location

400 Estudillo Ave Ste 206
San Leandro, CA 94577-4900

Mailing address

400 Estudillo Ave Ste 206
San Leandro, CA 94577-4900
Phone (404) 839-0420

National Provider Directory

National Provider Directory

Locations

400 Estudillo Ave
Ste 206
San Leandro, CA 94577
Phone (404) 839-0420

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1659747509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ESTUDILLO AVE STE 206",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774900",
            "telephone_number": "404-839-0420",
            "fax_number": "510-842-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ESTUDILLO AVE STE 206",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774900",
            "telephone_number": "404-839-0420",
            "fax_number": "510-842-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I HEART SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHERINA",
        "authorized_official_middle_name": "LETICE",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "404-839-0420",
        "authorized_official_credential": "M.ED, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.