Organization Active NPI

Timberline Speech-Language Pahology, Inc.

  • Speech-Language Pathologist
  • Big Bear City, CA
National Provider Identifier
1831572346
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP21129 Issued in CA
Legal business name
TIMBERLINE SPEECH-LANGUAGE PAHOLOGY, INC.
Practice address
1003 Eagle Mountain Dr
Big Bear City, CA 92314-9489
Phone
(909) 547-0223
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Jonni Vindiola, MS, CCC-SLPNPI 1063805232
Title
Owner/Director
Phone
(909) 547-0223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP21129 CA Primary

Addresses

Primary practice location

1003 Eagle Mountain Dr
Big Bear City, CA 92314-9489

Mailing address

1003 Eagle Mountain Dr
Big Bear City, CA 92314-9489
Phone (909) 547-0223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1831572346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 EAGLE MOUNTAIN DR",
            "city": "BIG BEAR CITY",
            "state": "CA",
            "postal_code": "923149489",
            "telephone_number": "909-547-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 EAGLE MOUNTAIN DR",
            "city": "BIG BEAR CITY",
            "state": "CA",
            "postal_code": "923149489",
            "telephone_number": "909-547-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE SPEECH-LANGUAGE PAHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "VINDIOLA",
        "authorized_official_first_name": "JONNI",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "909-547-0223",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP21129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.