Mary Jo Hooper, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 12164 Issued in CA

Practice address

2706 Hilltop Dr
Newport Beach, CA 92660-5404

Phone

(949) 706-0646

Fax

(949) 706-0646

NPI assigned

Jan 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1912985649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12156",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585053",
            "telephone_number": "949-706-0646",
            "fax_number": "949-706-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 HILLTOP DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605404",
            "telephone_number": "949-706-0646",
            "fax_number": "949-706-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "MARY JO",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 12164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSP002164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Hong, MD
• Chelsey Kimiko Honma, OD
• Chelsea Honrath
• Stacy Lee Hood, PT
• Patricia L Hooke, MFT
• Shannon Hooper, AGNP
• Linda Hopkins, PH.D.
• Allyson Akeko Hoppe, M.D.
• Horizon Dermatology and Laser Institute
• Hormone Rejuvenation Center-Ca

• Speech-Language Pathologist in Newport Beach, CA
• Providers in Newport Beach, 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 Nov 6, 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.

Verify at the official NPI Registry.