Active NPI
Bay Area Speechworks
- Speech-Language Pathologist
- Mill Valley, CA
National Provider Identifier
1780117747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11013
- Legal business name
- BAY AREA SPEECHWORKS
- Practice address
- 131 Camino Alto
Suite E-3
Mill Valley, CA 94941-2254 - Phone
- (415) 205-1754
- NPI assigned
- Apr 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- M Leslie Whitaker
- Title
- President
- Phone
- (415) 205-1754
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10040 | CA | |
| Speech-Language Pathologist | 235Z00000X | 11013 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 22812 | CA | |
| Speech-Language Pathologist | 235Z00000X | 15821 | CA | |
| Speech-Language Pathologist | 235Z00000X | 8306 | CA | |
| Speech-Language Pathologist | 235Z00000X | 13781 | CA |
Addresses
Primary practice location
131 Camino Alto
Suite E-3
Mill Valley, CA 94941-2254
Mailing address
131 Camino Alto
Suite E-3
Mill Valley, CA 94941
Phone (415) 205-1754
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Mill Valley, CA
- NPI 1932513561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491436800000",
"number": "1780117747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 CAMINO ALTO",
"address_2": "SUITE E-3",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "94941",
"telephone_number": "415-205-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 CAMINO ALTO",
"address_2": "SUITE E-3",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412254",
"telephone_number": "415-205-1754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA SPEECHWORKS",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "M",
"authorized_official_middle_name": "LESLIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-205-1754"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "10040",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "11013",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "22812",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "15821",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "8306",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "13781",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.