NPIMap

Organization Active NPI

San Diego Speech Pathology Services Inc.

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1861604233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1570 Issued in CA
Legal business name
SAN DIEGO SPEECH PATHOLOGY SERVICES INC.
Practice address
411 Camino del Rio S
#101
San Diego, CA 92108-3530
Phone
(619) 574-8181
Fax
(619) 574-0802
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edmund L Thile, PH.D.,SLP
Title
Director
Phone
(619) 574-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP1570 CA Primary

Addresses

Primary practice location

411 Camino del Rio S
#101
San Diego, CA 92108-3530

Mailing address

411 Camino del Rio S
#101
San Diego, CA 92108-3530
Phone (619) 574-8181

National Provider Directory

National Provider Directory
Tax ID family
San Diego County Speech Pathology Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

411 Camino del Rio S
Ste 101
San Diego, CA 92108
Phone (619) 574-8181

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861604233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CAMINO DEL RIO S",
            "address_2": "#101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083530",
            "telephone_number": "619-574-8181",
            "fax_number": "619-574-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CAMINO DEL RIO S",
            "address_2": "#101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083530",
            "telephone_number": "619-574-8181",
            "fax_number": "619-574-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO SPEECH PATHOLOGY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THILE",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-574-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.