Active NPI
Molly Heck, SLPA
- Speech-Language Assistant
- San Diego, CA
National Provider Identifier
1881821114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 916
- Practice address
- 9606 Tierra Grande St Ste 107
San Diego, CA 92126-6501 - Phone
- (858) 695-9415
- Fax
- (858) 695-9412
- NPI assigned
- Jun 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 916 | CA | Primary |
Addresses
Primary practice location
9606 Tierra Grande St Ste 107
San Diego, CA 92126-6501
Mailing address
3152 Trinity Bay PL
San Diego, CA 92110-5343
Phone (530) 205-8995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 916 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244851200000",
"number": "1881821114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3152 TRINITY BAY PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105343",
"telephone_number": "530-205-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9606 TIERRA GRANDE ST STE 107",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921266501",
"telephone_number": "858-695-9415",
"fax_number": "858-695-9412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECK",
"first_name": "MOLLY",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-13",
"last_updated": "2009-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "916",
"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 Jun 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.