Active NPI
Allison Mondani
- Speech-Language Pathologist
- San Mateo, CA
National Provider Identifier
1952767014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14658
- Practice address
- 2015 Pioneer CT Ste P2
San Mateo, CA 94403-1736 - Phone
- (650) 455-4064
- NPI assigned
- Jan 5, 2016
- Reactivated
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Speech-Language Pathologist | 235Z00000X | 14658 | CA | Primary |
Addresses
Primary practice location
2015 Pioneer CT Ste P2
San Mateo, CA 94403-1736
Mailing address
2015 Pioneer CT Ste P2
San Mateo, CA 94403-1736
Phone (650) 455-4064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14658 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601683200000",
"number": "1952767014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 PIONEER CT STE P2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031736",
"telephone_number": "650-455-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 PIONEER CT STE P2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031736",
"telephone_number": "650-455-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDANI",
"first_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2020-10-03",
"certification_date": "2020-10-03",
"deactivation_date": "2020-08-03",
"reactivation_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.