Individual provider Active NPI

Monica Putt, M.S., CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1699198697
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
27605 Issued in CA
Practice address
5151 Murphy Canyon Rd Ste 150
San Diego, CA 92123-4480
Phone
(619) 275-4525
Fax
(619) 275-4526
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9429 MN
Speech-Language Pathologist 235Z00000X 023259-1 NY
Speech-Language Pathologist 235Z00000X 27605 CA Primary

Addresses

Primary practice location

5151 Murphy Canyon Rd Ste 150
San Diego, CA 92123-4480

Mailing address

5151 Murphy Canyon Rd Ste 150
San Diego, CA 92123-4480
Phone (619) 275-4525

Other practice location 1

3333 University Ave SE
Minneapolis, MN 55414-3325
Phone (612) 331-9413

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
023259-1NYMDDental Hygienist
9429MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fraser Past Accepting new patients
Total Education Solutions, Inc. Speech-Language Pathologist Past Accepting new patients
Fraser Child and Family Center PastSince Dec 11, 2020 Accepting new patients
Total Education Solutions Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 4

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": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1699198697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MURPHY CANYON RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234480",
            "telephone_number": "619-275-4525",
            "fax_number": "619-275-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MURPHY CANYON RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234480",
            "telephone_number": "619-275-4525",
            "fax_number": "619-275-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 University Ave SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554143325",
            "country_code": "US",
            "telephone_number": "612-331-9413",
            "fax_number": "612-728-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTT",
        "first_name": "MONICA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9429",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023259-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27605",
            "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 Feb 12, 2019; 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.