Bonnicksen Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BONNICKSEN SPEECH THERAPY

Doing business as

Clear Sky Speech Therapy

Practice address

4620 Obispo Rd
Atascadero, CA 93422-1531

Phone

(805) 550-2832

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 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

Colleen Bonnicksen, MS, CCC-SLPNPI 1174951164

Title

Owner/Speech-Language Pathologist

Phone

(805) 550-2832

Specialties & licenses 1

Addresses

Other names 1

• Clear Sky Speech Therapy Doing business as

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.

• Colleen Rose Witt Bonnicksen, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Missoula, MT
  • NPI 1174951164
  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1770329898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 EL CAMINO REAL # 175",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224697",
            "telephone_number": "805-550-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 OBISPO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221531",
            "telephone_number": "805-550-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNICKSEN SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "BONNICKSEN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "805-550-2832",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Sky Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Boddington
• Danica Boggs
• Leslie Joe Bolin, PHD
• Delmer Edwin Bond Jr., D,D,S,
• Kimberly Bond, MD
• Kathleen Bono, PSY.D.
• Cassandra Lynn Booker, RADT-I
• Richard A Boone, DDS
• Cierra Chanel Boots, MS, ATC
• Tasia Borguesea

• Speech-Language Pathologist in Atascadero, CA
• Providers in Atascadero, 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 Jul 8, 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.