Active NPI
Speech Therapy Services
- Speech-Language Pathologist
- Scotts Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH THERAPY SERVICES
- Practice address
- 1421 Whispering Pines Dr
Scotts Valley, CA 95066-4632 - Phone
- (209) 256-2742
- NPI assigned
- Mar 16, 2022
- Last updated
- Mar 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie C Black, MS,CCC/SLP
- Title
- Speech-Language Pathologist
- Phone
- (831) 204-1908
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
1421 Whispering Pines Dr
Scotts Valley, CA 95066-4632
Mailing address
2460 17TH Ave Ste 1041
Santa Cruz, CA 95062-1860
Phone (831) 204-1908
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | slpleslie@outlook.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2460 17th Ave
Ste 1041
Santa Cruz, CA 95062
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Scotts Valley, CA
- NPI 1972760015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1962150052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 17TH AVE STE 1041",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621860",
"telephone_number": "831-204-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 WHISPERING PINES DR",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664632",
"telephone_number": "209-256-2742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "831-204-1908",
"authorized_official_credential": "MS,CCC/SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "slpleslie@outlook.com",
"affiliation": "N",
"endpointDescription": "HIPPA compliant Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Hippa compliant email",
"address_1": "1421 Whispering Pines Dr",
"city": "Scotts Valley",
"state": "CA",
"country_code": "US",
"postal_code": "950664632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.