Heather Tom, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP24308 Issued in CA

Practice address

822 Rollin St
South Pasadena, CA 91030-3731

Phone

(323) 363-7705

NPI assigned

Mar 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riner-Costantino & Associates

  • Speech-Language Pathologist
  • Glendale, CA
  • NPI 1336459957
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1902269822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 ROLLIN ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303731",
            "telephone_number": "323-363-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 ROLLIN ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303731",
            "telephone_number": "323-363-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "HEATHER",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP24308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Therapy, Licensed Clinical Social Worker, Inc.
• Nancy Tinajero-Guerrero
• Tishangi Kumar Agrawal MD
• Tom a. Eisenberg, PH.D.
• Ernest Tom Jr.
• Tony S. Hwang DDS, Inc
• Sona Topalian
• Aaron Bradley Tran
• Erika Tran
• Hong Yen T Tran

• Speech-Language Pathologist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.