Organization Active NPI

Chattykiddo Pediatric Therapy a Speech Pathologist Corporation

  • Speech-Language Pathologist
  • La Habra, CA
National Provider Identifier
1851907281
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHATTYKIDDO PEDIATRIC THERAPY A SPEECH PATHOLOGIST CORPORATION
Practice address
1210 W Imperial Hwy Ste D
La Habra, CA 90631-6962
Phone
(714) 600-0688
Fax
(877) 595-1830
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Natalie Romanchukevich Tipakov, MS/CCC-SLP
Title
Ceo
Phone
(714) 600-0688

Specialties & licenses 1

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

Addresses

Primary practice location

1210 W Imperial Hwy Ste D
La Habra, CA 90631-6962

Mailing address

2512 Coventry Cir
Fullerton, CA 92833-1281
Phone (714) 600-0688

Other names 1

  • ChattyKiddo Pediatric Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@chattykiddo.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1210 W Imperial Hwy
Ste D
La Habra, CA 90631
Phone (714) 600-0688

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1851907281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 COVENTRY CIR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331281",
            "telephone_number": "714-600-0688",
            "fax_number": "877-595-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W IMPERIAL HWY STE D",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316962",
            "telephone_number": "714-600-0688",
            "fax_number": "877-595-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTYKIDDO PEDIATRIC THERAPY A SPEECH PATHOLOGIST CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "TIPAKOV",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ROMANCHUKEVICH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-600-0688",
        "authorized_official_credential": "MS/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@chattykiddo.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1210 W Imperial Hwy Ste D",
            "city": "LA Habra",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906316962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ChattyKiddo Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.