Organization Active NPI

Cooper Speech Pathology Consultants, Inc.

  • Speech-Language Pathologist
  • Castro Valley, CA
National Provider Identifier
1699421602
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COOPER SPEECH PATHOLOGY CONSULTANTS, INC.
Practice address
21014 Sherman Dr
Castro Valley, CA 94552-5351
Phone
(510) 862-2413
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Virginia De Costa Cooper
Title
Speech Pathologist/President
Phone
(510) 862-2413

Specialties & licenses 1

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

Addresses

Primary practice location

21014 Sherman Dr
Castro Valley, CA 94552-5351

Mailing address

21014 Sherman Dr
Castro Valley, CA 94552-5351

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1699421602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21014 SHERMAN DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21014 SHERMAN DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525351",
            "telephone_number": "510-862-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER SPEECH PATHOLOGY CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "DE COSTA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "510-862-2413"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.