NPIMap

Organization Active NPI

Wings Speech and Language Center Inc

  • Speech-Language Pathologist
  • Ontario, CA
National Provider Identifier
1962895532
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16940 Issued in CA
Legal business name
WINGS SPEECH AND LANGUAGE CENTER INC
Practice address
1500 S Haven Ave
Suite 190
Ontario, CA 91761-2969
Phone
(909) 390-1313
Fax
(909) 390-1311
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Angela Jean Benes, M.S., CCC-SLP
Title
Director/Owner
Phone
(909) 390-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 16940 CA Primary

Addresses

Primary practice location

1500 S Haven Ave
Suite 190
Ontario, CA 91761-2969

Mailing address

1500 S Haven Ave
Suite 190
Ontario, CA 91761-2969
Phone (909) 390-1313

National Provider Directory

National Provider Directory
Tax ID family
Wings Speech and Language Center 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

1500 S Haven Ave
Ste 190
Ontario, CA 91761
Phone (909) 390-1313

Practitioners & affiliated clinicians

Practitioners 112

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

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1962895532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S HAVEN AVE",
            "address_2": "SUITE 190",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612969",
            "telephone_number": "909-390-1313",
            "fax_number": "909-390-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S HAVEN AVE",
            "address_2": "SUITE 190",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612969",
            "telephone_number": "909-390-1313",
            "fax_number": "909-390-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS SPEECH AND LANGUAGE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "BENES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "909-390-1313",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.