NPIMap

Organization Active NPI

Seaside Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Ventura, CA
National Provider Identifier
1962796623
Registry record updated May 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP16012 Issued in CA
Legal business name
SEASIDE SPEECH THERAPY, INC.
Practice address
1937 Goodyear Ave
Suite 706
Ventura, CA 93003-8002
Phone
(805) 644-8255
Fax
(805) 644-8256
NPI assigned
May 30, 2011
Last updated
May 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2011

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

Authorized official

Name
Kristen RohdeNPI 1720209323
Title
Program Director
Phone
(805) 644-8255

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X SP16012 CA Primary

Addresses

Primary practice location

1937 Goodyear Ave
Suite 706
Ventura, CA 93003-8002

Mailing address

1937 Goodyear Ave
Suite 706
Ventura, CA 93003-8002
Phone (805) 644-8255

National Provider Directory

National Provider Directory
Tax ID family
Seaside Speech Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1937 Goodyear Ave
Ste 706
Ventura, CA 93003
Phone (805) 644-8255

4253 Transport St
Unit 1
Ventura, CA 93003
Phone (805) 644-8255

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1962796623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 GOODYEAR AVE",
            "address_2": "SUITE 706",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038002",
            "telephone_number": "805-644-8255",
            "fax_number": "805-644-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 GOODYEAR AVE",
            "address_2": "SUITE 706",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038002",
            "telephone_number": "805-644-8255",
            "fax_number": "805-644-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "ROHDE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "805-644-8255"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP16012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.