North Star Speech and Language Pathology Center, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

NORTH STAR SPEECH AND LANGUAGE PATHOLOGY CENTER, INC.

Practice address

3555 Kenyon St Ste 102
San Diego, CA 92110-5341

Phone

(619) 436-1187

Fax

(858) 221-4058

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Katherine McKernan-McCracken, SLPD, CCC-SLP

Title

President

Phone

(619) 436-1187

Specialties & licenses 2

Addresses

Other identifiers 10

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Marie Bermudez-Hopkins, M.A. CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1265254981
  NPD
• Haley Elizabeth Edwards, OTD OTR/L

  • Occupational Therapist
  • San Diego, CA
  • NPI 1922896018
  NPD
• Grace Erhardt

  • Occupational Therapist
  • San Diego, CA
  • NPI 1841005204
  NPD
• Madelynn Holtberg, MS

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1669158952
  NPD
• Katherine McKernan, SLPD, CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1952714776
  NPD
• Grace Smith

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1932921558
  NPD
• Dina Stein

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1639984115
  NPD

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1821608670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 W POINT LOMA BLVD UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071441",
            "telephone_number": "619-436-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KENYON ST STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105341",
            "telephone_number": "619-436-1187",
            "fax_number": "858-221-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4624 W Point Loma Blvd Unit 3",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921071441",
            "country_code": "US",
            "telephone_number": "619-436-1187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH STAR SPEECH AND LANGUAGE PATHOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN-MCCRACKEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-436-1187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SLPD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841005204",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639984115",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669158952",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285281949",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174281349",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265254981",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932921558",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629485883",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750831715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952714776",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Karen J North, MS., OTR/L
• Leah Marie North
• Robert Dale North Jr., CMT

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, 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 13, 2025; 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.