NPIMap

Organization Active NPI

Integrated Intervention for Children With Autism

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1669725834
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP9875 Issued in CA
Legal business name
INTEGRATED INTERVENTION FOR CHILDREN WITH AUTISM
Practice address
911 Bern CT
Suite 130
San Jose, CA 95112-1242
Phone
(408) 621-4008
NPI assigned
Oct 24, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amy Christina Haught, MA CCC-SLPNPI 1013192947
Title
Director
Phone
(408) 621-4008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 42

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

View all 42

National Provider Directory

National Provider Directory

Locations

6341 Auburn Blvd
Ste B
Citrus Heights, CA 95621

911 Bern Ct
Ste 130
San Jose, CA 95112
Phone (408) 437-8864

911 Bern Ct
Ste 300
San Jose, CA 95112

151 Business Center Loop
Ste A1
Kalispell, MT 59901

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP9875 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

911 Bern CT
Suite 130
San Jose, CA 95112-1242

Mailing address

911 Bern CT
Suite 130
San Jose, CA 95112-1242
Phone (408) 621-4008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2016.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1669725834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BERN CT",
            "address_2": "SUITE 130",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121242",
            "telephone_number": "408-621-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BERN CT",
            "address_2": "SUITE 130",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121242",
            "telephone_number": "408-621-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED INTERVENTION FOR CHILDREN WITH AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "HAUGHT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-621-4008",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.