Communication Blooms Speech Therapy Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COMMUNICATION BLOOMS SPEECH THERAPY INC.

Practice address

1812 W Kettleman LN Ste 1
Lodi, CA 95242-4209

Phone

(209) 242-4606

NPI assigned

Jan 12, 2024

Organization subpart

No

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

Authorized official

Name

Mackenzie Shiba, M.S. CCC-SLPNPI 1154975118

Title

Owner/SLP

Phone

(209) 242-4606

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Mackenzie Shiba, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Lodi, CA
  • NPI 1154975118
  NPD Authorized official
• Valeria Carrillo

  • Speech-Language Assistant
  • Lodi, CA
  • NPI 1427536705
  NPD
• Sarah Elizabeth Vandenburg

  • Speech-Language Assistant
  • Lodi, CA
  • NPI 1811862345
  NPD

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1689445231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16966 E FRONT ST",
            "city": "LINDEN",
            "state": "CA",
            "postal_code": "952369751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W KETTLEMAN LN STE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424209",
            "telephone_number": "209-242-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICATION BLOOMS SPEECH THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SHIBA",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "209-242-4606",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian B Cole
• Eddie Coleman
• Corey B Colla, MD
• Elizabeth A Collins, RN
• Sean Martin Collins, D.D.S., M.S.D
• Community Medical Centers Inc
• Community Medical Centers Inc
• Community Medical Centers Inc
• Community Medical Centers, Inc.
• Community Medical Centers, Inc.

• Speech-Language Pathologist in Lodi, CA
• Providers in Lodi, 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 May 11, 2026; 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.