Individual provider Active NPI

Kelsey Svenson, MS, CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1679959662
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30280 Issued in CA
Practice address
7525 Metropolitan Dr Ste 308
San Diego, CA 92108-4412
Phone
(619) 692-0622
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Speech-Language Pathologist 235Z00000X 30280 CA Primary

Addresses

Primary practice location

7525 Metropolitan Dr Ste 308
San Diego, CA 92108-4412

Mailing address

84 South St
2
Medford, MA 02155-7120

Other practice location 1

555 Amory St
Jamaica Plain, MA 02130-2652
Phone (617) 383-6522 ext. 113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30280CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kara Dodds and Associates, Inc Speech-Language Pathologist CurrentSince Aug 9, 2020 Accepting new patients

Locations

7525 Metropolitan Dr
Ste 308
San Diego, CA 92108

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1679959662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SOUTH ST",
            "address_2": "2",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021557120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084412",
            "telephone_number": "619-692-0622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Amory St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021302652",
            "country_code": "US",
            "telephone_number": "617-383-6522 x113",
            "fax_number": "617-383-6520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SVENSON",
        "first_name": "KELSEY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2020; 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.