Kind Minds Bloom Speech Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KIND MINDS BLOOM SPEECH THERAPY, INC.

Practice address

47305 Javalina Rd
Fremont, CA 94539-7410

Phone

(510) 255-3518

NPI assigned

Oct 15, 2025

Last updated

Oct 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Lee, CCC-SLPNPI 1487537973

Title

Owner and Ceo

Phone

(510) 255-3518

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, and the practitioner matching its NPPES authorized official.

• Nancy Lee, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fremont, CA
  • NPI 1487537973
  NPD Authorized official

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1699641670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47305 JAVALINA RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397410",
            "telephone_number": "510-255-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47305 JAVALINA RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397410",
            "telephone_number": "510-255-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND MINDS BLOOM SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "510-255-3518",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Yean Kim, L.A.C,
• Thomas Kim
• Conrad Kimball
• Dana Kimbar, CCC-SLP
• Steven Earl Kimura
• Emily King
• Surisa Rozell King
• Gabriella Kingsley
• Joan Frances Kinney, NP
• Lisa L. Kinoshita, MD

• Speech-Language Pathologist in Fremont, CA
• Providers in Fremont, 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 15, 2025; 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.