Organization Active NPI

Mosaic Speech Therapy Inc

  • Speech-Language Pathologist
  • Grass Valley, CA
National Provider Identifier
1851915995
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOSAIC SPEECH THERAPY INC
Practice address
900 E Main St Ste 108
Grass Valley, CA 95945-5853
Phone
(530) 446-6711
Fax
(530) 446-6705
NPI assigned
Jun 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Stephanie Ash, SLP
Title
Owner, Speech Language Pathologist
Phone
(530) 446-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

900 E Main St Ste 108
Grass Valley, CA 95945-5853

Mailing address

12942 Boreham LN
Nevada City, CA 95959-3438
Phone (530) 446-6711

National Provider Directory

National Provider Directory

Locations

900 E Main St
Ste 108
Grass Valley, CA 95945
Phone (530) 446-6711

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": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1851915995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12942 BOREHAM LN",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593438",
            "telephone_number": "530-446-6711",
            "fax_number": "530-446-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST STE 108",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "530-446-6711",
            "fax_number": "530-446-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "530-446-6711",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.