Organization Active NPI

Speech Language and Learning Services of Northern California, LLC

  • Hearing and Speech Clinic/Center
  • Sebastopol, CA
National Provider Identifier
1922855303
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SPEECH LANGUAGE AND LEARNING SERVICES OF NORTHERN CALIFORNIA, LLC
Practice address
310 Tilton Rd
Sebastopol, CA 95472-9422
Phone
(707) 292-6303
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Barry Johan Vejby, MS
Title
Director
Phone
(707) 292-6303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

310 Tilton Rd
Sebastopol, CA 95472-9422

Mailing address

310 Tilton Rd
Sebastopol, CA 95472-9422
Phone (707) 292-6303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1922855303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TILTON RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729422",
            "telephone_number": "707-292-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TILTON RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729422",
            "telephone_number": "707-292-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE AND LEARNING SERVICES OF NORTHERN CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "VEJBY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "JOHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-292-6303",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.