Denise Genevieve Santos Ford, CCC - SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16970 Issued in CA

Practice address

1058 Redwood Hwy Frontage Rd Ste a
Mill Valley, CA 94941-1660

Phone

(415) 924-2444

Fax

(415) 924-2442

NPI assigned

Aug 22, 2012

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dba Child Development Center of Marin

  dba DBA Child Development Center

  • Hearing and Speech Clinic/Center
  • Mill Valley, CA
  • NPI 1780441949
  NPD (past) Authorized official
• Speech Therapy Marin

  dba Child Development Center of Marin

  • Speech-Language Pathologist
  • Mill Valley, CA
  • NPI 1205338332
  NPD

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1790033793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 REDWOOD HWY FRONTAGE RD STE A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411660",
            "telephone_number": "415-924-2444",
            "fax_number": "415-924-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 REDWOOD HWY FRONTAGE RD STE A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411660",
            "telephone_number": "415-924-2444",
            "fax_number": "415-924-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "DENISE",
        "middle_name": "GENEVIEVE SANTOS",
        "credential": "CCC - SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Flaxman, LMFT
• Kacie Flegal, D.C.
• Jai Flicker
• Laravic Trance Flores, M.D.
• Tracy Elizabeth Foose, M.D.
• Patrick Ford, LMFT
• Emily Fortner
• Michael David Fox, MD
• Tiffany Franco, DPT
• Karena Franses, LCSW

• Speech-Language Pathologist in Mill Valley, CA
• Providers in Mill Valley, 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 Mar 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.