Active NPI
Mosaic Speech Therapy Inc
- Speech-Language Pathologist
- Grass Valley, CA
National Provider Identifier
1851915995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Mill Spring, NC
- NPI 1275165235
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.