NPIMap

Organization Active NPI

Speech Goals Speech Therapy Inc.

  • Speech-Language Pathologist
  • South San Francisco, CA
National Provider Identifier
1740539493
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13121 Issued in CA
Legal business name
SPEECH GOALS SPEECH THERAPY INC.
Practice address
363 El Camino Real
Suite 100
South San Francisco, CA 94080-5980
Phone
(650) 583-3797
Fax
(650) 583-3797
NPI assigned
Sep 7, 2012
Last updated
Sep 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Jasna Cowan, MS, CCCNPI 1245463256
Title
Speech Language Pathologist
Phone
(650) 438-4631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 13121 CA Primary

Addresses

Primary practice location

363 El Camino Real
Suite 100
South San Francisco, CA 94080-5980

Mailing address

363 El Camino Real
Suite 100
South San Francisco, CA 94080-5980
Phone (650) 583-3797

National Provider Directory

National Provider Directory

Locations

363 El Camino Real
Ste 100
South San Francisco, CA 94080
Phone (650) 583-3797

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1740539493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805980",
            "telephone_number": "650-583-3797",
            "fax_number": "650-583-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805980",
            "telephone_number": "650-583-3797",
            "fax_number": "650-583-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH GOALS SPEECH THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JASNA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "650-438-4631",
        "authorized_official_credential": "MS, CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.