Kathleen Shubin, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

35531 Athena CT
Winchester, CA 92596-9011

Phone

(760) 805-4811

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Ledieff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Beyond Expectations Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Winchester, CA
  • NPI 1205622453
  NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1669248613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35531 ATHENA CT",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35531 ATHENA CT",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969011",
            "telephone_number": "760-805-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBIN",
        "first_name": "KATHLEEN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LEDIEFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yailin Sanchez
• Christina Michelle Sanders, CPM, LM
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• Jim Sorena Seraj, M.D.
• Abrahan W Serrano
• Tabitha Louise Smith, RN
• Jeffrey Snow
• Maria Celeste Solomon, CCC-SLP
• Soul Grit Marriage and Family Counseling Services, Inc.
• Spa M Medical Corporation

• Speech-Language Pathologist in Winchester, CA
• Providers in Winchester, 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 Nov 30, 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.