Organization Active NPI

Amanda Gean Speech-Language Pathology, Inc

  • Speech-Language Pathologist
  • Oakland, CA
National Provider Identifier
1972014470
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17273 Issued in CA
Legal business name
AMANDA GEAN SPEECH-LANGUAGE PATHOLOGY, INC
Doing business as
Amanda Gean SLP, Inc
Practice address
230 Grand Ave
Oakland, CA 94610-4589
Phone
(415) 238-8418
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Amanda GeanNPI 1669901526
Title
Ceo
Phone
(415) 238-8418

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 17273 CA Primary

Addresses

Primary practice location

230 Grand Ave
Oakland, CA 94610-4589

Mailing address

2290 Leimert Blvd
Oakland, CA 94602-1944
Phone (415) 238-8418

Other names 1

  • Amanda Gean SLP, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

230 Grand Ave
Oakland, CA 94610
Phone (415) 238-8418

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1972014470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 LEIMERT BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021944",
            "telephone_number": "415-238-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104589",
            "telephone_number": "415-238-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA GEAN SPEECH-LANGUAGE PATHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "GEAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-238-8418"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Gean SLP, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.