Organization Active NPI

Reach Speech Therapy Services, Inc

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1669832572
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP21047 Issued in CA
Legal business name
REACH SPEECH THERAPY SERVICES, INC
Practice address
12396 World Trade Dr Ste 105
San Diego, CA 92128-3787
Phone
(858) 405-4724
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Angela Lin, M.A.NPI 1225375017
Title
Clinical Director
Phone
(858) 413-6601

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP21047 CA Primary

Addresses

Primary practice location

12396 World Trade Dr Ste 105
San Diego, CA 92128-3787

Mailing address

12396 World Trade Dr Ste 105
San Diego, CA 92128-3787

Other practice location 1

504 W Mission Ave Ste 102
Escondido, CA 92025-1603
Phone (858) 405-4724

Other names 1

  • Reach Therapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1669832572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283787",
            "telephone_number": "858-405-4724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 W Mission Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920251603",
            "country_code": "US",
            "telephone_number": "858-405-4724",
            "fax_number": "801-346-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REACH SPEECH THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "858-413-6601",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP21047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reach Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.