Individual provider Active NPI

Joann Theresa Wyse, MS CCC SLP

  • Speech-Language Pathologist
  • San Marcos, CA
National Provider Identifier
1962395913
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
40017 Issued in CA
Practice address
971 Borden Rd SPC 49
San Marcos, CA 92069-2150
Phone
(818) 964-2661
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 40017 CA Primary

Addresses

Primary practice location

971 Borden Rd SPC 49
San Marcos, CA 92069-2150

Mailing address

971 Borden Rd SPC 49
San Marcos, CA 92069-2150
Phone (818) 964-2661

Other practice location 1

10760 Thornmint Rd
San Diego, CA 92127-2700
Phone (855) 426-5437

Other names 1

  • Joann Jungk Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40017CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Callahan Associates Incorporated Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1962395913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 BORDEN RD SPC 49",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692150",
            "telephone_number": "818-964-2661",
            "fax_number": "818-964-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 BORDEN RD SPC 49",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692150",
            "telephone_number": "818-964-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10760 Thornmint Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921272700",
            "country_code": "US",
            "telephone_number": "855-426-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYSE",
        "first_name": "JOANN",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "40017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "JUNGK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.