NPIMap

Organization Active NPI

Equilibrium Speech Therapy Inc

  • Hearing and Speech Clinic/Center
  • Orange, CA
National Provider Identifier
1962110908
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
EQUILIBRIUM SPEECH THERAPY INC
Practice address
500 N State College Blvd Ste 1100
Orange, CA 92868-1625
Phone
(657) 215-6767
NPI assigned
Nov 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Sharlyn Ann Gallego Sumbillo Park, MS CCC-SLPNPI 1144971383
Title
President/SLP
Phone
(657) 215-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

500 N State College Blvd Ste 1100
Orange, CA 92868-1625

Mailing address

500 N State College Blvd Ste 1100
Orange, CA 92868-1625

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1962110908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N STATE COLLEGE BLVD STE 1100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N STATE COLLEGE BLVD STE 1100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681625",
            "telephone_number": "657-215-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "SUMBILLO PARK",
        "authorized_official_first_name": "SHARLYN ANN",
        "authorized_official_middle_name": "GALLEGO",
        "authorized_official_title_or_position": "PRESIDENT/SLP",
        "authorized_official_telephone_number": "657-215-6767",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.