Bella-Lisa Mia Teeling, M.A.-CCC, SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

#11260 Issued in CA

Practice address

5805 San Diego Street
El Cerrito, CA 94530

Phone

(510) 333-8637

Fax

(510) 526-8687

NPI assigned

Oct 17, 2006

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

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942381082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SAN DIEGO STREET",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 SAN DIEGO STREET",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-333-8637",
            "fax_number": "510-526-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEELING",
        "first_name": "BELLA-LISA",
        "middle_name": "MIA",
        "credential": "M.A.-CCC, SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "#11260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genise Marie Swain, PA-C
• Debbie Swinarski, D.C.
• James Yoneo Tanaka, DDS
• Ted Satoshi Tanaka, D.P.M.
• Vivian Tang, D.D.S.
• Disha Thakkar, DDS
• Tavisha Thapar
• The Child Therapy Institute of Marin
• Third Optometric Care of California PC
• Tyler Scott Thompson, LMFT, LPCC

• Speech-Language Pathologist in El Cerrito, CA
• Providers in El Cerrito, 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 8, 2007; 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.