Cynthia Weinstein Heryanto, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18300SLP Issued in CA

Practice address

1215 20TH St
Hermosa Beach, CA 90254-3317

Phone

(310) 895-9955

NPI assigned

May 25, 2012

Last updated

Feb 8, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Communication Horizons Speech Therapy Inc

  • Speech-Language Pathologist
  • Hermosa Beach, CA
  • NPI 1760143390
  NPD Authorized official

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1801156682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE.",
            "address_2": "STE B #403",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "90254",
            "telephone_number": "310-895-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 20TH ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543317",
            "telephone_number": "310-895-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERYANTO",
        "first_name": "CYNTHIA",
        "middle_name": "WEINSTEIN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18300SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia@communicationhorizons.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "703 Pier Ave.",
            "address_2": "Ste B #403",
            "city": "Hermosa Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hermosa Beach City School District
• Hermosa Beach Surgery Center, LLC
• Hermosa Surgery Center Inc
• Judith Hernandez
• Magda Selene Herrera, LMFT
• Alyson Christine Hinz, LPCC
• Raedel Christie Hipolito
• Veronica Hlatky
• Charles Hobart
• Brittany Irene Hoff

• Speech-Language Pathologist in Hermosa Beach, CA
• Providers in Hermosa Beach, 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 Feb 8, 2022; 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.