Organization Active NPI

Hedgehog Speech Therapy

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1902617814
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HEDGEHOG SPEECH THERAPY
Practice address
1054 S de Anza Blvd Ste 102
San Jose, CA 95129-3553
Phone
(408) 763-3697
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Grace Hedgecock, M.S., CCC-SLPNPI 1972068880
Title
Owner & Speech Language Pathologist
Phone
(408) 841-6690

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: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1054 S de Anza Blvd Ste 102
San Jose, CA 95129-3553

Mailing address

10190 N Foothill Blvd Apt F9
Cupertino, CA 95014-0820
Phone (408) 841-6690

National Provider Directory

National Provider Directory

Locations

1054 S De Anza Blvd
Ste 102
San Jose, CA 95129
Phone (408) 763-3697

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": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1902617814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 N FOOTHILL BLVD APT F9",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140820",
            "telephone_number": "408-841-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 S DE ANZA BLVD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293553",
            "telephone_number": "408-763-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGEHOG SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "HEDGECOCK",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER & SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "408-841-6690",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.