NPIMap

Organization Active NPI

Sparkman Speech Pathologists Inc

Doing business as The Speech Path

  • Speech-Language Pathologist
  • Modesto, CA
National Provider Identifier
1942426572
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP004334 Issued in CA
Legal business name
SPARKMAN SPEECH PATHOLOGISTS INC
Doing business as
The Speech Path
Practice address
2030 Coffee Rd
C-2
Modesto, CA 95355-2413
Phone
(209) 572-2505
Fax
(209) 572-2509
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Lee Sparkman, MA CCC-SLPNPI 1245556448
Title
Director
Phone
(209) 572-2505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP004334 CA Primary

Addresses

Primary practice location

2030 Coffee Rd
C-2
Modesto, CA 95355-2413

Mailing address

2030 Coffee Rd
C-2
Modesto, CA 95355-2413
Phone (209) 572-2505

Other names 1

  • The Speech Path Doing business as

National Provider Directory

National Provider Directory

Locations

1518 Coffee Rd
Ste C
Modesto, CA 95355
Phone (209) 572-2505

2030 Coffee Rd
Ste C2
Modesto, CA 95355
Phone (209) 572-2505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942426572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 COFFEE RD",
            "address_2": "C-2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552413",
            "telephone_number": "209-572-2505",
            "fax_number": "209-572-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 COFFEE RD",
            "address_2": "C-2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552413",
            "telephone_number": "209-572-2505",
            "fax_number": "209-572-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKMAN SPEECH PATHOLOGISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPARKMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-572-2505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP004334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Speech Path",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.