Haleh Pezeshkan, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

23177 Issued in CA

Practice address

5820 Stoneridge Mall Rd Ste 203
Pleasanton, CA 94588-3200

Phone

(925) 818-1362

NPI assigned

Jul 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Northern Therapy Group, Inc.

  • Early Intervention Provider Agency
  • Pleasanton, CA
  • NPI 1619359635
  NPD (past) Authorized official

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1962886226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3128",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266428",
            "telephone_number": "925-818-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 203",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883200",
            "telephone_number": "925-818-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZESHKAN",
        "first_name": "HALEH",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "23177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Parker Peterson, D.C.
• Morgan Peterson
• Michael Petrak, P.T.
• Judith M Petrick, LMFT
• Patrick Vincent Petti, PH.D.
• Apoorva Phadke, PT DPT
• Jenny Pham
• Lilian Pham, PA-C
• Tuyen Pham
• Duy-Phu Phan, DDS

• Speech-Language Pathologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.