Calico Speech Therapy, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CALICO SPEECH THERAPY, INC

Practice address

902 Bowen Ave
San Jose, CA 95123-5304

Phone

(408) 256-1424

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By 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

Jennifer CooperNPI 1386116267

Title

Speech Language Pathologist

Phone

(408) 256-1424

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.

• Jennifer Cooper, CCC-SLP

  • Speech-Language Pathologist
  • San Jose, CA
  • NPI 1386116267
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1760212500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BOWEN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235304",
            "telephone_number": "408-256-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BOWEN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235304",
            "telephone_number": "408-256-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALICO SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "408-256-1424"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in San Jose, CA
• Providers in San Jose, 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 Aug 6, 2024; 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.