Boca Grande Speech Therapy Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP20818 Issued in CA

Legal business name

BOCA GRANDE SPEECH THERAPY INC

Practice address

883 Belden St Apt 4
Monterey, CA 93940-1168

Phone

(831) 275-0792

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Athena Hagerty, M.S.NPI 1669921060

Title

Ceo

Phone

(602) 460-9524

Specialties & licenses 1

Addresses

Practitioners 1

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

• Athena Hagerty, M.S.

  • Speech-Language Pathologist
  • Monterey, CA
  • NPI 1669921060
  NPD (past) Authorized official

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1699225334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 BELDEN ST APT 4",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401168",
            "telephone_number": "831-275-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 BELDEN ST APT 4",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401168",
            "telephone_number": "831-275-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA GRANDE SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "HAGERTY",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-460-9524",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP20818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Blot
• Marian Blum, L.AC.
• Martha Lewis Blum, MD
• Lorraine Christie Blumenthal, LCSW
• Blynn L Shideler MD PC
• Jennell Joe Bockenstedt, OD
• Brian Bogner, ASW
• Boksoonga, LLC
• Christina Marie Bolante, M.D.
• Kimberley Bolden, RBT

• Speech-Language Pathologist in Monterey, CA
• Providers in Monterey, 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 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.