Organization Active NPI

Sunset Kids Therapy

  • Speech-Language Pathologist
  • Carlsbad, CA
National Provider Identifier
1891235222
Registry record updated Mar 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17872 Issued in CA
Legal business name
SUNSET KIDS THERAPY
Practice address
3138 Roosevelt St Ste K
Carlsbad, CA 92008-3022
Phone
(619) 846-3588
Fax
(619) 923-2918
NPI assigned
Mar 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2017

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

Authorized official

Name
Tiffany Harrison, M.A., CCC-SLPNPI 1922132992
Title
Speech Pathologist
Phone
(619) 846-3588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 17872 CA Primary

Addresses

Primary practice location

3138 Roosevelt St Ste K
Carlsbad, CA 92008-3022

Mailing address

3138 Roosevelt St Ste K
Carlsbad, CA 92008-3022
Phone (619) 846-3588

Other identifiers 1

IdentifierTypeStateIssuer
1922132992OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

3138 Roosevelt St
Ste K
Carlsbad, CA 92008
Phone (619) 846-3588

4455 Murphy Canyon Rd
San Diego, CA 92123
Phone (619) 407-7180

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": "1488585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488585600000",
    "number": "1891235222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 ROOSEVELT ST STE K",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083022",
            "telephone_number": "619-846-3588",
            "fax_number": "619-923-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 ROOSEVELT ST STE K",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083022",
            "telephone_number": "619-846-3588",
            "fax_number": "619-923-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "619-846-3588",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922132992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; 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.